Executive-Back Office-Claims Administration

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

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

Graduation in medical science