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6 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 22d 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

Prepare for Back end Executive roles with real interview advice

Top Sand Martin Consultants Back end Executive Interview Questions

Q1. Can you describe a time when you identified and resolved a significant accounting discrepancy? What steps did you take to address the issue ... read more
Q2. How do you stay current with changes in accounting regulations and standards, and how do you ensure your team is also up-to-date
Q3. How do you adapt your sales startegies basd on thies insights
View all 11 questions

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 193 employees
70%
52%
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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