Roles & Responsibilities
· In-depthKnowledge and Experience in the US Health Care Payer System.
· 4-6 years of experience in Claims Adjudication.
· GoodCommunication skill both written and oral
· Experiencein MIS reporting for providing periodic reports to all relevantstakeholders.
· Musthave experience on SLA reporting and tracking.
· Musthave experience/knowledge on commercial priority groups and EDI groups.
· Coordinatewith IT team on the EDI fallouts.
· Mustworked on project coordination on membership process.
· Maintainingand Ownership of reports both internal as well as for the clients.
· Presentingthe data and provide deep insights about the process to the Clients as well asInternal Management.
· Adheringto various regulatory and compliance practices.
· Managingand coordinating training programs.
· Abilityto coach and providing feedback to the team.
Qualification& Experience
Critical: Any Degree(Pass)
Graduation is a must in any stream of Education
Interested candidates can share your updated cv to manochitra@geval6.com