TM-Ops Claims

About the role

Write the purpose for which the job exists (in 2-3 lines) (Max 1325 Characters) The Medical Claims Processor – PreAuth is responsible for the accurate and timely assessment, processing, and authorization of cashless hospitalization requests in accordance with policy terms, medical guidelines, and company procedures.

What you'll do

• Write the key results expected from the job and the supporting actions for each of these key result areas (For a majority of jobs typically there could be 4- 7 key…
• Key Result Areas ( Max 1325 Characters)
• Supporting Actions (Max 1325 Characters)
• Accurate and timely submission of periodic and ad-hoc reports related to Claims
• Develop, Implement shortcuts, formulae on excel, using alternative tools/methods for timely submission

What you need

• Claims processing
• MIS reporting
• Excel
• Audit
• Medical coding
• Budgeting