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10 Sand Martin Consultants Jobs

Backend Executive - International KPO - Noida

0-1 years

₹ 2 - 3L/yr

Noida

20 vacancies

Backend Executive - International KPO - Noida

Sand Martin Consultants

posted 3d ago

Job Role Insights

Fixed timing

Job Description

Job Summary:

We are seeking detail-oriented US Health Claim Associates to join our team. The role involves processing and reviewing healthcare claims, ensuring accuracy, and adhering to compliance guidelines. The ideal candidate should have a strong understanding of medical billing, claim adjudication, and US healthcare policies.


Key Responsibilities:

  • Review and process healthcare claims for accuracy and compliance with US insurance policies.
  • Verify patient details, insurance coverage, and claim eligibility.
  • Analyze claim discrepancies, resolve billing issues, and handle claim rejections.
  • Collaborate with insurance companies, healthcare providers, and internal teams for claim resolution.
  • Maintain detailed and accurate documentation of claims processed.
  • Ensure adherence to HIPAA regulations and company policies.
  • Meet productivity and quality targets as per industry standards.

Requirements:

  • Bachelors degree (preferably in healthcare, business, or a related field).
  • Knowledge of CPT, ICD-10, HCPCS codes, and EOBs is preferred.
  • Familiarity with US insurance policies, claim adjudication, and denial management.
  • Strong analytical and problem-solving skills.
  • Good communication skills, both verbal and written.
  • Ability to work in a fast-paced environment with accuracy and attention to detail.

Preferred Skills:

  • Experience with claim processing software or healthcare ERP systems.
  • Knowledge of Medicaid, Medicare, and commercial insurance plans.
  • Ability to handle multiple tasks and work effectively under deadlines.

Employment Type: Full Time, Permanent

Read full job description

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What people at Sand Martin Consultants are saying

Back end Executive salary at Sand Martin Consultants

reported by 2 employees
₹2.2 L/yr - ₹2.8 L/yr
5% less than the average Back end Executive Salary in India
View more details

What Sand Martin Consultants employees are saying about work life

based on 191 employees
70%
51%
82%
95%
Strict timing
Alternate Saturday off
No travel
Day Shift
View more insights

Sand Martin Consultants Benefits

Job Training
Team Outings
Health Insurance
Work From Home
Soft Skill Training
Education Assistance +6 more
View more benefits

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