Senior Process Associate

Posted Yesterday
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Tharamani, Chennai, Tamil Nadu, IND
In-Office
Senior level
Healthtech
The Role
Review insurance claims via web portal, take timely actions after outreach, file appeals with documentation for denied claims, prioritize and follow up long-pending cases, work assigned denial batches, and escalate to team leads when assistance is needed. Strong communication skills required to interpret denial correspondence.
Summary Generated by Built In

Need to utilize the web portal to check the claims instead of given calling. After the calling need to take proper and timely actions.

If Denied claims required appeal then need to appeal the claim with proper comments with supporting document.

Need to F/up long time pending claims as Priority and need to discuss with team leads immediately if claims required assistance.

Need to work on the assigned denial batches and make sure to address all the denied claims

Good communication skills needed to read the correspondence Denial letter received from insurance companies.  

Skills Required

  • Use web portal to review and process insurance claims.
  • Take appropriate and timely actions following member/provider calls.
  • Prepare and submit appeals for denied claims with proper comments and supporting documentation.
  • Follow up on long-pending claims as a priority and escalate to team leads when needed.
  • Work assigned denial batches and ensure all denied claims are addressed.
  • Strong communication skills to read and interpret insurance correspondence and denial letters.

Harris healthcare Compensation & Benefits Highlights

The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Harris healthcare and has not been reviewed or approved by Harris healthcare.

  • Leave & Time Off Breadth PTO and paid holidays are characterized as generous, with ample time off emphasized. This breadth of time-off options is highlighted alongside favorable impressions of vacation and sick leave.
  • Flexible Benefits Remote-work flexibility and trust to work from home are emphasized, indicating adaptable arrangements for many roles. Flexibility is positioned as a tangible part of the overall package.
  • Healthcare Strength Core coverage includes medical, dental, and vision, along with life and disability insurance and HSA/FSA options. Health plans are often characterized as good, contributing to a solid foundational offering.

Harris healthcare Insights

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The Company
HQ: Niagara Falls, New York
185 Employees
Year Founded: 1993

What We Do

For over 25 years, Harris Healthcare has been rising to the challenge of bringing together the most innovative and sustainable solutions for today’s ever-changing healthcare environment, in order to improve patient care and safety. Each one of our solutions brings organizational efficiencies on its own. Powerful synergies are achieved when multiple solutions are implemented together. The Harris Healthcare portfolio includes the following solutions: ♦ HARRIS Flex - an enterprise-level EHR solution that improves patient safety and clinical workflows. It includes a full complement of applications integrated in one single database, provides solid clinical decision support to your clinicians and helps standardize care while enforcing protocols and best practices at any Healthcare Organization. HARRIS Flex conveys the digital solution’s flexibility and strength. Healthcare organizations are continuously faced with new challenges and situations and require flexible EHR’s that can be rapidly adapted to their evolving clinical practice. Contrary to other EHR solutions which are inflexible and where customizations require costly support from the vendor, HARRIS Flex gives you the freedom to "flex" your EHR as you need it entirely on your own. The enhanced HARRIS Flex solution comes with new functionality including: ♦Flex Telehealth which enables virtual visits directly from within the EHR/EPR, and ♦Flex Clinical Insight which facilitates extraction and analysis of your EHR/EPR data to improve your processes and outcomes. ♦ SynergyCheck – a proactive interface monitoring solution watching over Clinical, Financial and other interfaces 24/7 to ensure data is flowing between systems

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