Careers At HGS
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Healthcare Claim Billing Associate

Job Code : HGS/262
EL PASO | TX Permanent

Job Description

As a Healthcare Claim Billing Associate, you will help and work with customers and members to improve their health, well-being and sense of security. Your role is responding to complex inquiries regarding benefits, billing, eligibility, coverage and other related information and provide solutions for customers, clients and health care professional via phone and email.  Creative problem solving, critical thinking and empathy skills are essential.  Professional interaction, active and passive listening skills and the ability to utilize computer- based resources in a highly effective manner to educate and provide accurate responses to customer inquiries is crucial for success in the role, along with the innate ability to be compassionate and empathetic when appropriate when handling complex customer inquiries.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Process claims as per the guidelines.
  • Keep abreast with the process of claims processing in the healthcare industry.
  • Have a good understanding of the performance SLA’s and meet the SLA’s.
  • Understand all binding laws and regulations related to the project.
  • Ensure all parameters such as Production, TAT and Quality are met.
  • Utilize and be familiar with the current system functions, applications and enhancements.
  • Ensure strict adherence to the process workflow and regular attendance is maintained and apt behavior is observed. 

MINIMUM JOB REQUIREMENTS: (Education, Experience, Skills)

  • High School Diploma or equivalent required, Associates or Bachelor’s degree preferred
  • 1-2 years healthcare industry knowledge preferred
  • Excellent communication skills, both written and verbal
  • Adaptability and quick learning skills
  • Ability to work with a diverse population
  • Ability to operate a keyboard and basic computer navigational skills
  • Typing speed – Min 15-20 wpm preferred
  • Knowledge of basic computer applications.
  • Have a positive attitude and be a good team player.

 

 

HGS is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.

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