Thryve Digital Off Campus Hiring candidates for the role of Trainee – Claims Adjudicator for the Chennai / Hyderabad locations. The complete details about Thryve Digital Off Campus Hiring are as follows.
Qualifications
Required Qualification & Skills:
Education Required:
- Bachelor of Arts (B.A) – Any Specialization
- Bachelor of Commerce (B. Com) – Any Specialization
- Bachelor of Science (B.Sc.) – Any Specialization
- Life science graduates.
Skills & Competencies Required:
- Should be flexible working for US shifts.
- Should have good typing skills (30-35 wpm).
- Should have good English communicational skills (both oral and written).
- Knowledge in US Healthcare would be an added advantage
- Should be open & flexible to align with business requirements as needed.
Job Description & Responsibilities:-
This role requires to screens, reviews, evaluate online entry, error correction and / or quality control review and final adjudication of paper/electronic claims. Determines whether to return, deny or pay claims following organizational policies and procedures.
- May include initial entry claims or claims which have suspended. Translate foreign language claims into English using software and code appropriately. Convert foreign currency to US dollar and code charges appropriately.
- Reviews processed claims and inquiries to determine corrective action which can include adjusting claims. Takes the corrective action steps using enrollment, benefit, and historical claim processing information.
- Determine if claim information is complete and correct. Enter/verify claims data.
- Resolve claim edits, review history records, and determine benefit eligibility for service. Review payment levels to arrive at final payment determination.
- Meets all production and quality standards. Attends all required training classes.
- Elevates issues to next level of supervision, as appropriate.
- Maintains accurate records, including timekeeping records.
- Other duties as assigned or requested.
Skills Required
Thryve Digital Off Campus Hiring Application Process:-
Apply In Below Link
Apply Link:- Click Here To Apply (Apply before the link expires)
Note:– Only shortlisted candidates will receive the call letter for further rounds
