Thryve Digital is Hiring for Process Trainee Role. All the Candidates who completed B.A/ B.Com/ B.Sc are eligible. Interested Candidates can read the following Details and Apply for this role.
Job Description
- Company Name: Thryve Digital
- Job Role: Process Trainee
- Qualification: B.A/ B.Com/ B.Sc
- Location: Chennai, Hyderabad
- Experience: Fresher
- Batch: 2019/ 2020/ 2021/ 2022/ 2023
- Salary: Up to 3.6 LPA (Expected)
Job Role & Responsibilities
- This role requires to screens, reviews, evaluate online entry, error correction and / or quality control review and final adjudication of paper/electronic claims.
- Determines whether to return, deny or pay claims following organizational policies and procedures.
- May include initial entry claims or claims which have suspended.
- Translate foreign language claims into English using software and code appropriately.
- Convert foreign currency to US dollar and code charges appropriately.
- Reviews processed claims and inquiries to determine corrective action which can include adjusting claims.
- Takes the corrective action steps using enrollment, benefit, and historical claim processing information.
- Determine if claim information is complete and correct. Enter/verify claims data.
- Resolve claim edits, review history records, and determine benefit eligibility for service.
- Review payment levels to arrive at final payment determination.
- Meets all production and quality standards.
- Attends all required training classes.
- Elevates issues to next level of supervision, as appropriate.
- Maintains accurate records, including timekeeping records.
- Other duties as assigned or requested.
Eligibility Criteria
- Bachelor of Arts (B.A), Bachelor of Commerce (B. Com), Bachelor of Science (B.Sc.)
- Should be flexible working for US shifts.
- Should have good typing skills (30-35 wpm).
- Should have good English communicational skills (both oral and written).
- Knowledge in US Healthcare would be an added advantage.
- Should be open & flexible to align with business requirements as needed.
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