Cognizant Off Campus Drive 2024: Hiring Process Executives – Data – Any Graduate, Freshers

Responsibilities

• Process healthcare claims accurately and efficiently to ensure timely adjudication.
• Review and analyze claims data to identify discrepancies and ensure compliance with industry standards.
• Collaborate with team members to resolve complex claims issues and provide support as needed.
• Maintain up-to-date knowledge of healthcare regulations and payer policies to ensure accurate claims processing.
• Utilize claims adjudication software to input and manage claims data effectively.
• Communicate with healthcare providers and payers to obtain necessary information for claims processing.
• Monitor and track claims status to ensure timely resolution and payment.
• Provide excellent customer service by addressing inquiries and resolving issues related to claims.
• Participate in training sessions to stay current with industry changes and updates.
• Assist in the development and implementation of process improvements to enhance claims adjudication efficiency.
• Generate reports and analyze claims data to identify trends and areas for improvement.
• Ensure confidentiality and security of patient information in compliance with HIPAA regulations.
• Support the team in achieving departmental goals and objectives through effective claims management.

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Qualifications

• Possess a strong understanding of claims adjudication processes and procedures.
• Demonstrate excellent analytical and problem-solving skills.
• Exhibit strong attention to detail and accuracy in claims processing.
• Have good communication skills to interact with healthcare providers and payers.
• Show proficiency in using claims adjudication software and other relevant tools.
• Display the ability to work collaboratively in a team environment.
• Maintain knowledge of healthcare regulations and payer policies.
• Have a basic understanding of commercial claims claims and payer domains.
• Demonstrate the ability to manage multiple tasks and prioritize effectively.

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