Job Description

• Strong knowledge and minimum one year experience in claims submission, reconciliation processes.
• Coordinate with internal departments and insurance payers to ensure timely claim submission and reconciliation.
• Build and maintain effective relationships with payers and cross-functional stakeholders to facilitate smooth reconciliation activities and improve claim efficiency.
• Analyze claim discrepancies, identify root causes, and drive corrective actions to reduce claim rejections.
• Prepare reconciliation reports and ensure timely closure of recon closure with the payer and internal stakeholders.
• Monthly MIS reports.

Skills Required:

• Pro in MS Excel and Power BI
• Excellent communication skill both verbal & written. 
• Data Analytics 
• Medical coding optional