Senior Associate - Claims Management

Reposted 12 Days Ago
Be an Early Applicant
Uttar Pradesh
Entry level
Healthtech
The Role
The role involves managing insurance claims for healthcare providers, prioritizing claims, communicating with insurers, and ensuring compliance with HIPAA regulations. Responsibilities include daily reviews and collaboration with supervisors on unresolved cases.
Summary Generated by Built In

Create the future of e-health together with us by becoming an Senior Associate - Claims Management

At CompuGroup Medical, our mission is to build groundbreaking solutions for digital healthcare. We aim to revolutionize how healthcare professionals produce, access, and utilize information, enabling them to focus on the core value of their work: patient outcomes. As one of the Best in KLAS organizations in the industry, we offer a full scope of Electronic Health Records (EHR), Billing, Payment services, and Revenue Cycle Management (RCM) services. We provide our team members with the training and solutions to grow across various technologies and processes.

What You Can Expect From Us:

  • High Performing Team: You will be part of a close-nit, elite team within CGM that will move fast, with accuracy and hit deadlines with confidence.
  • In-Person Team Environment: The role and the team will be onsite in Noida. We’re making work human again. No more working with people that you never meet in person. In this role, you will build in-person relationships with your team, and friendships for years to come.
  • Comprehensive Benefits: Extensive group health and accidental insurance programs.
  • Seamless Onboarding: A safe digital application process and a structured onboarding program.
  • Engagement Activities: Tons of fun at work with engagement activities and entertaining games.
  • Career Growth: Various career growth opportunities and a lucrative merit increment policy.
  • Flexible Transportation: Choose between a self-transport allowance or our pick-up/drop-off service.
  • Subsidized Meals: Enjoy our kitchen and food hall with subsidized meals, for your convenience.

Key Responsibilities & Duties:

  • Calling insurance companies in the US on behalf of our clients (doctors/physicians) and follow up on outstanding claims.
  • According to predefined rules you will prioritize the pending claims (collectible vs. non-collectible).
  • In preparation for each call, you will be investigating each case to understand the situation and being able to convince the claims company (payers) for payment of their outstanding claims.
  • To make a physical call by following the international norms and applicable rules for confidentiality and HIPAA compliance.
  • In case collection cannot be made according to predefined rule sets, we ask you to discuss these cases with your immediate supervisor.
  • You will be reviewing/meeting on a daily, weekly and monthly basis with regards to your targets.

Qualification/Experience:

  • Minimum 9 months of experience in US Healthcare Revenue Cycle Management & Claims Management process.
  • Willingness to work from the office and in night shift to work with payers and providers in the US.
  • Strong written and verbal communication skills in English language.
  • Basic computer skills including Microsoft Office.
  • Analytical and problem-solving skills.

Convinced? Submit your application now! Please make sure to include your salary expectations as well as your earliest possible hire date.

We create the future of e-health. Become part of a significant mission.

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The Company
HQ: Austin, Texas
320 Employees

What We Do

CompuGroup Medical is a global e-health provider with a comprehensive portfolio of cutting-edge IT solutions for the healthcare industry. We connect doctors, hospitals, community health facilities, dentists, pharmacists, health insurers and other service providers to create an integrated network of all healthcare stakeholders. As a result, we can help these organizations improve efficiency, optimize care and increase patient satisfaction while also improving profitability.

Our market-leading solutions include everything from electronic health records to innovative practice management systems. These solutions are present in over 400,000 practices and healthcare organizations worldwide. We are also proud to maintain and sustain long-term relationships with our clients, many of whom have been using our products for decades. Our dedicated, knowledgeable team consistently delivers innovative products and services with the customer in mind, knowing that in addition to running an effective business, their main focus is to heal the patient. We share that same passion and it drives everything we do.

As an owner-led and publicly traded company, CGM uniquely combines the personal touch of a local business with the strength of a global entity. We are committed to meeting and exceeding our clients’ expectations, and our goal is to become the #1 choice for all healthcare providers in the United States – a position we have already achieved in many other countries around the world.

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