Dayforce
5001 - 10000 employees
👥 HR Tech
☁️ SaaS
🏢 Enterprise
💰 $1G Post-IPO Debt - Dayforce on 2024-03
HR Tech • SaaS • Enterprise
Dayforce is a cloud-based human capital management (HCM) platform that delivers integrated payroll, HR, workforce management, talent management, and benefits administration for employers. It is offered as a software-as-a-service (SaaS) solution designed to help organizations manage employee lifecycle processes, payroll and scheduling in a unified system.
Claims Associate
Job not on LinkedIn
🔥 9 minutes ago
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Dayforce
5001 - 10000 employees
👥 HR Tech
☁️ SaaS
🏢 Enterprise
💰 $1G Post-IPO Debt - Dayforce on 2024-03
HR Tech • SaaS • Enterprise
Dayforce is a cloud-based human capital management (HCM) platform that delivers integrated payroll, HR, workforce management, talent management, and benefits administration for employers. It is offered as a software-as-a-service (SaaS) solution designed to help organizations manage employee lifecycle processes, payroll and scheduling in a unified system.
📋 Description
• Ability to review and analyze complex medical documentation with a high degree of accuracy to prevent errors in claims processing. • Evaluate claims against established guidelines, contracts, and regulatory requirements. • Conduct detailed research on complex claims, pre-existing conditions, and other intricate scenarios. • Analyze medical records, policy documents, and other relevant information to make informed claim decisions. • Demonstrate proficiency in healthcare coding systems (e.g., CPT, ICD-10, HCPCS, Revenue codes, medical terminologies, Human Anatomy, Inpatient Vs. Outpatient claims) to accurately assess claims. • Apply knowledge of healthcare benefits and payment policies. • Provide clear and concise explanations of claim decisions to relevant parties. • Identify trends and patterns in complex claims to contribute to process improvements. • Candidate should be able to correctly calculate claim amounts for the customers. • Complying with company regulations regarding HIPAA, confidentiality, and private health information.
🎯 Requirements
• Medical Graduates – MBBS, Physiotherapists, B-Pharma or life science graduates with minimum 1 year of experience in handling US Health Insurance claims. • Graduates and Fresher. • Should have strong English comprehension, verbal and written skills • Strong medical science knowledge to comprehend medical reports • Should have basic math knowledge of calculating simple interest, compound interest. • Should have good English comprehension and analytical skills • Should have excellent problem-solving skills with an eye for detail
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