Processing member enrollment and change forms, including data entry
Verifying proper completion of enrollment and change documentation.
Requesting and verifying information as needed to expedite enrollment.
Verifying payments, process adjustments, refunds and perform reconciliation of accounts
Ensuring accurate and timely completion of transactions to meet or exceed client SLAs.
Processing daily enrollee invoices and premium reconciliation for members.
Organizing and completing tasks per assigned priorities.
Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
Resolving complex situations following pre-established guidelines
Requirements for this role include:
University degree or equivalent that required formal studies of the English language and basic Math
1+ year(s) of experience processing claims for the US healthcare market
1+ years of experience where you had to apply business rules to varying fact situations and make appropriate decisions
1+ years of data entry experience that required a focus on quality including attention to detail, accuracy, and accountability for your work product.
1+ years of experience using a computer with Windows PC applications that required you to use a keyboard, navigate screens, and learn new software tools.
1+ years months of experience that required prioritizing your workload to meet deadlines
Required schedule availability for this position is Monday-Friday 6PM/4AM IST The shift timings can be changed as per client requirements. Additionally, resources may have to do overtime and work on weekend's basis business requirement.
