Claims Associate

Nature of Job:

The Enrollment & Billing Associate is responsible for assisting members with issues related to enrollment and premium payments. This position acts as a liaison between member services and the enrollment plus finance departments. This position is responsible for reconciling enrollment and billing related discrepancies related to members

Job Description:

• Complete the full cycle of Identification, Validation, Enrollment and Billing procedures related to members
• Work on the customers applications, eligibility and fallouts arising out of discrepancies in the systems
• Ensure the accuracy and completeness of applications taken
• Billing activity includes monthly generation of member premium bills and payments received to fulfill those bills
• Correct all Billing discrepancies in a way that members no longer owe money
• Changes in Payment types as requested by Member
• Complete Account reconciliation of members post terminating the member from Services
• Works flexibly and cooperatively under supervision with all team members
• Completes all responsibilities according to established protocols, policies and standard practices plus adhere to regulatory compliance programs such as HIPPA

Skills Required

• Good verbal and written communication skills,
• Ability to multi-task, Critical thinking abilities, open and ready to work on feedback
• Quality focused, Good Analytical skills.
• Proficiency with Windows, MS Office and basis computer skills
• Demonstrate skills necessary to interpret regulations and guidelines
• Ability to interact positively with internal and external customers

Eligibility Criteria

• At least 6 months of experience, preferably in health care domain and preferably with experience of working in night shift
• Proficiency in Microsoft Office Suite
• Must be a Graduate from an recognized university ( No B.Tech, MCA or IT related degree)
• Mandatory working from Office
• Typing - 30 WFM with 90% Accuracy
• Flexibility to work in Shifts