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

Graduation in medical science

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