Job Description
Job Summary
The SPE-Claims HC role requires a professional with 2 to 4 years of experience in handling appeals and grievances within the healthcare domain. The candidate will utilize their expertise in MS Excel and Excel Services on SharePoint to manage claims efficiently. This hybrid role involves rotational shifts and does not require travel.
Responsibilities
The SPE-Claims HC role requires a professional with 2 to 4 years of experience in handling appeals and grievances within the healthcare domain. The candidate will utilize their expertise in MS Excel and Excel Services on SharePoint to manage claims efficiently. This hybrid role involves rotational shifts and does not require travel.
Responsibilities
- Manage and process healthcare claims with precision and accuracy to ensure timely resolution.
- Utilize MS Excel to analyze data and generate reports that support decision-making processes.
- Implement Excel Services on SharePoint to streamline data sharing and collaboration among team members.
- Address appeals and grievances with a focus on delivering satisfactory outcomes for all parties involved.
- Collaborate with cross-functional teams to enhance claims processing efficiency and effectiveness.
- Monitor claim trends and provi...
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