- Thryve Digital is one of the first Global In-house centers focused entirely on creating higher quality Health Care. At our very core is a team of passionate innovators who work together to deliver on that promise with the highest degree of integrity, strong principles and commitment to ethical standards.
Thryve Digital is hiring for Process Trainee
- Company Name
- Thryve Digital Health LLP
- Company Website
- https://www.thryvedigital.com
- Experience
- 0
- Job Role
- Process Trainee
- Job Type
-
- Non Technical
- Fresher
- Job Location
-
- Chennai
- Hyderabad
- Education
-
- Graduate
- BCom
- BA
- Bsc
About Company
Eligibility Criteria
- Bachelor of Arts (B.A) - Any Specialization • Bachelor of Commerce (B. Com) - Any Specialization • Bachelor of Science (B.Sc.)
Job Description
- 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 & 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.
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