Back Office Jobs in Pune - Pride group
Back Office
Job Description
We are looking for a Medical Insurance Back Office Employee for a US based process
Do you like people? Are you a hardworking, resourceful, details-driven, and supportive type person who delivers nothing but the best customer experience and client care... mild-mannered and untroubled by difficult customer situations or complicated client requests... a strong typist with good communication and computer skills..
.comfortable in a fast-paced business environment where priorities can change quickly....
a super organized get-it-done type person who
is also a team-player? Do you thrive by taking on challenges, learning new
things, growing your skillset, and being resourceful? Are you a self-starter
who finds solutions for open-ended customer questions and support needs? If so,
you might be the Medical Insurance Back Office Employee we are looking for!
This is an opportunity to be a part of the Medical Insurance Back Office team
dedicated to supporting our client. You will help drive the mission by
delivering a powerful customer experience which includes answering a wide array
of support questions. You will be a part of a growing company that will offer
you challenges and real growth opportunities.
Knowledge, Skills, and Abilities
Proficiency in the following areas is preferred:
· Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
· Competent use of computer systems.
· Familiarity with CPT and ICD-10 Coding (Preferred).
· Effective communication abilities for phone contacts with insurance payers to resolve issues.
· Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
· Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
· Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.
· A calm manner and patience working with either patients or insurers during this process.
· Knowledge of medical terminology likely to be encountered in medical claims.
· Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
· Ability to multitask.
Education and Experience Required
Basic requirements include:
- Graduate with a knowledge of business and accounting processes usually obtained from a reputed educational institution, with a degree in Medical Insurance preferred.
- A minimum of three years of experience in a medical insurance office setting.
- Working with different support channels; phone, email and/or chat support (preferred)
Location and other general requirements:
Location: Pune
General requirements:
· Capable time manager
· Punctual and reliable
· Excellent oral and written comprehension skills
· Ready to work for US shift timings
Salary: To be discussed personally
We offer a rewarding and unique working environment. We are an equal opportunity employer. If you meet the qualifications listed and are interested in these opportunities, please provide a current resume and a brief indication of salary desired. We look forward to speaking with you about this fantastic opportunity to be part of our rapidly growing organization!
Experience:
Medical Office: 1 year (Preferred)
Education: High school or equivalent (Preferred)
Language: English & Spanish (A Plus!)