Back Office Executive @ Hexaware Technologies

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Back Office Executive

Hexaware Technologies
0 years
Mumbai
12 days ago
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Job Description

Role & responsibilities

Review incoming healthcare claims for accuracy and completeness, ensuring all necessary information is provided for adjudication.
Analyze claims data against payer policies and industry regulations to determine eligibility for payment or denial.
Communicate effectively with healthcare providers, policyholders, and internal teams to resolve discrepancies or gather additional information.
Utilize claims processing systems and software to enter, update, and retrieve claims information accurately.
Identify and report any trends or patterns in claims submissions that may indicate potential fraud or abuse.
Ensure timely processing of claims to meet internal and external deadlines, maintaining high levels of productivity and accuracy.
Collaborate with team members to improve claims adjudication processes and contribute to departmental goals.

Interested Candidate please share your resume at Sh***S@he*****e.com or 9619455***

Job Classification

Industry: BPM / BPO
Functional Area / Department: Customer Success, Service & Operations
Role Category: Back Office
Role: Billing / Records
Employement Type: Full time

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Company: Hexaware Technologies
Location(s): Mumbai

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Keyskills: Excel

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Current / Recent Company (*)

Experience (*)

Expected Salary (*)

Desired Industry (*):

Functional area / Department (*):

Enter Skills (key skills, subjects, technologies & roles to use in search)

Write briefly about yourself, your experience and education (*)

Attach ResumeMax 2.38 MB (RTF, PDF, DOC, DOCX formats only parsed)

Please, check the file size and type.

Add social media [ + ]

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Hexaware Technologies

Hexaware BPS. is the wholly owned subsidiary of Hexaware Technologies Ltd. We are currently staffed at 4000+ people across Navi Mumbai (Mahape) Chennai, Nagpur US, Mexico and Russia. Hexaware BPS leverages on a strong technology legacy from its parent organization. With an amalgamation of passionate...

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Back Office Executive @ Hexaware Technologies

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