Pride group jobs - Back Office

We are looking for a Medical Insurance Back Office Employee for a US based process

Do you like people? Are you a hardworking, resourceful, details-driven, and supportive type person who delivers nothing but the best customer experience and client care... mild-mannered and untroubled by difficult customer situations or complicated client requests... a strong typist with good  communication and computer skills..

.comfortable in a fast-paced business environment where priorities can change quickly.... 

a super organized get-it-done type person who is also a team-player? Do you thrive by taking on challenges, learning new things, growing your skillset, and being resourceful? Are you a self-starter who finds solutions for open-ended customer questions and support needs? If so, you might be the Medical Insurance Back Office Employee we are looking for!

This is an opportunity to be a part of the Medical Insurance Back Office team dedicated to supporting our client. You will help drive the mission by delivering a powerful customer experience which includes answering a wide array of support questions. You will be a part of a growing company that will offer you challenges and real growth opportunities.

Knowledge, Skills, and Abilities

Proficiency in the following areas is preferred:

·         Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.

·         Competent use of computer systems.

·         Familiarity with CPT and ICD-10 Coding (Preferred).

·         Effective communication abilities for phone contacts with insurance payers to resolve issues.

·         Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.

·         Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.

·         Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.

·         A calm manner and patience working with either patients or insurers during this process.

·         Knowledge of medical terminology likely to be encountered in medical claims.

·         Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).

·         Ability to multitask.

Education and Experience Required

Basic requirements include:

• Graduate with a knowledge of business and accounting processes usually obtained from a reputed educational institution, with a degree in Medical Insurance preferred.
• A minimum of three years of experience in a medical insurance office setting.
• Working with different support channels; phone, email and/or chat support (preferred)

Location and other general requirements:

Location: Pune

General requirements:

·         Capable time manager

·         Punctual and reliable

·         Excellent oral and written comprehension skills

·         Ready to work for US shift timings

Salary: To be discussed personally

We offer a rewarding and unique working environment. We are an equal opportunity employer. If you meet the qualifications listed and are interested in these opportunities, please provide a current resume and a brief indication of salary desired. We look forward to speaking with you about this fantastic opportunity to be part of our rapidly growing organization!

Experience:

Medical Office: 1 year (Preferred)

Education: High school or equivalent (Preferred)

Language: English & Spanish (A Plus!)