Executive-Back Office-Claims Administration

Job description

Job Description: Organizational Relationships Reports To: Assistant Manager/Lead Assistant Manager Skills Desirable Skills • Critical thinking and high independent decision making - Strong analytical, Reasoning, and Problem solving skills - Ability to comprehend and write in English for structured written communications. Emails/IMS to be sent to internal teams - Strong interpersonal and communication skills – both verbal and written Technical Skills • Good computer navigation skills - Typing speed of 25 Words per Minute with 90% Accuracy - Proficiency in healthcare information systems - Ability to navigate through multiple applications Process Specific Skills • Familiar with US Healthcare domain knowledge and understanding of healthcare regulations (HIPAA) - Deep understanding of medical records and medical terminologies - Ability to produce high quality in production environment. Soft skills • Ability to understand and question established process guidelines for possible process improvements - Attention for detail, and Strong analytical skills for processing medical documentation - Possess keen sense of acquiring knowledge - Adaptable and flexible to work in night shifts Education Requirements and Work Experience: - Bachelor’s degree in relevant field such as Biology, Biochemistry, Biotechnology etc - Computer literacy - Candidates with relevant business experience will be preferred Responsibilities: Essential Functions - Responsible for reviewing and analyzing discrepancies by cross-verifying from different data sources - Familiar with US Healthcare domain knowledge and understanding of healthcare regulations (HIPAA) - Deep understanding of medical coding, billing, and medical terminologies - Attention for detail, and Strong analytical skills for processing medical documentation - Critical thinking and high independent decision making capability - Proficiency in healthcare information systems - Ability to navigate through multiple applications - Operates with urgency in a real time service environment - Meets individual goals while assisting team to meet team goals - Defines, communicates and manages workflow and data coordination to support various implementation related reports (i.e., reporting, inventory, capacity reporting, and ad-hoc reports as needed by management) May perform other duties as assigned Qualifications: Graduation in medical science