HGS is a global provider of technology, AI, and business services that helps organizations transform with confidence. At HGS, we combine technology, AI, and human expertise to deliver Intelligent Experiences that drive growth and transformation. Our strong foundation in CX enables us to create impactful solutions across industries. Through our Realized AI approach, we deliver practical innovation with measurable outcomes. Part of the multi-billion-dollar Hinduja Group, HGS takes a “globally local” approach with 18,000+ employees across 10 countries and 30 delivery centers.”
RRS Claims Specialist II:
Responsible for hospital and/or physician billing collections and follow up. The duties include working with payers to resolve issues and facilitate prompt payment of claims. Basic knowledge and understanding of patient billing, claims submission, and payer specific requirements is a must. This position is highly focused on the resolution of insurance processing errors and denials. Payers include but are not limited to Medicare, Medicaid, Blue Cross, and commercial health insurance carriers. Duties Include:
• Examining medical claims
• Verification of health insurance benefits
• Follow-up regarding claim status
• Identifying and resolving outstanding issues preventing claim resolution
• Correcting and resubmitting claims
• Documenting actions taken
• Maintaining expert customer service
• Ensuring legal compliance
• Experience with Microsoft Excel
SKILLS AND QUALIFICATION
Minimum 2 Years’ experience in Revenue Cycle Management or 2 year of experience and Certification Billing/Coding.
• Comprehensive knowledge of insurance plans, member eligibility, and medical billing
• Understanding of CPT, ICD-10, UB, HCFA, and 837 terminologies
• Excellent interpersonal and customer service skills
• Detail oriented, strong problem solving, analyzing information and research skills
• Excellent math, verbal and communication skills
• Computer proficiency; experience with financial software,
• Documentation and data entry skills
• Ability to meet and exceed productivity goals (based on portfolio)
• Experience will be determined at the time of hiring or reviewed during annual review based upon KPI’s and
HGS is an equal opportunity employer committed to fostering diversity, equity, and inclusion. We do not discriminate based on race, ethnicity, religion, gender, national origin, age, disability, veteran status, genetic information, or any other characteristic protected by applicable law. We believe a diverse workforce drives innovation and helps us better understand and serve our global customers and communities.
