Operation Associate - Payer / Provider Enrollment at Assured

Chennai, Tamil Nadu, India

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

At least 1+ years of experience in Provider/payer enrollment, credentialing, or medical billing within the US healthcare system
Bachelor's degree in healthcare administration or a related field is preferred
Proficiency with Microsoft Office Suite (Word, Excel)
Experience with credentialing software or payer portals (e.g., CAQH, PECOS)
Exceptional attention to detail and organizational skills
Strong written and verbal communication skills
Ability to work independently, manage multiple deadlines, and problem-solve effectively
Knowledge of medical terminology and the US healthcare revenue cycle
Strong understanding of US healthcare regulations and credentialing processes

Responsibilities

Prepare and submit provider enrollment applications, re-enrollments, and re-credentialing documents to commercial, Medicare, and Medicaid payers
Maintain and update provider files with accurate information, including licenses, certifications, and other credentialing paperwork
Act as the primary point of contact with payer representatives to track application statuses, address issues, and resolve any denials or requests for additional information in a timely manner
Accurately enter and manage provider data within credentialing and billing software, including systems like CAQH and PECOS
Stay current with changes in payer enrollment regulations and requirements to ensure all applications are compliant with state and federal guidelines
Work closely with billing, coding, and provider relations teams to ensure a smooth and efficient process from provider onboarding to billing

Skills

Key technologies and capabilities for this role

CAQHPECOSMicrosoft ExcelMicrosoft WordProvider EnrollmentCredentialingMedical BillingHealthcare Compliance

Questions & Answers

Common questions about this position

What experience is required for this Operation Associate role?

At least 1+ years of experience in provider/payer enrollment, credentialing, or medical billing within the US healthcare system is required.

Is this position remote or onsite?

This is an onsite position.

What technical skills are needed for this role?

Proficiency with Microsoft Office Suite (Word, Excel) and experience with credentialing software or payer portals like CAQH and PECOS are required.

What key soft skills are important for this position?

Exceptional attention to detail, organizational skills, strong written and verbal communication, ability to work independently, manage deadlines, and problem-solve effectively are essential.

What education is preferred for this Operation Associate position?

A Bachelor's degree in healthcare administration or a related field is preferred.

Assured

Digital solutions for insurance claims processing

About Assured

Assured.Claims provides digital solutions specifically for Property and Casualty (P&C) insurance carriers, focusing on enhancing the claims process. Their platform allows insurers to manage claims digitally, utilizing a combination of artificial intelligence and human interaction to facilitate effective communication with all parties involved. A key feature of their service is the First Notice of Loss (FNOL) web app, which helps insurers collect structured data at the beginning of a claim, leading to improved customer experiences and faster claim resolutions. Assured.Claims differentiates itself by offering a white-label solution, enabling insurers to implement their technology under their own brand without needing to develop it themselves. The company's goal is to streamline the claims process for insurers, ultimately improving efficiency and accuracy in claims handling.

Palo Alto, CaliforniaHeadquarters

2019Year Founded

$4.3MTotal Funding

SEEDCompany Stage

Fintech, AI & Machine LearningIndustries

51-200Employees

Benefits

Competitive salary & equity packages

Medical, dental, & vision

Life Insurance

PTO (Uncapped vacation days & paid holidays)

Family Leave

401(k) contribution

Commuter Benefits (Tax-advantaged commuter benefits account)

Health & Dependent Care FSAs (Pre-tax flexible spending accounts for out-of-pocket expenses)

Risks

Rising competition from new insurtech startups could erode Assured.Claims' market share.

Regulatory scrutiny on AI claims processing may increase compliance costs.

Data privacy concerns could lead to reputational damage for Assured.Claims.

Differentiation

Assured.Claims offers a unique FNOL web app for structured data collection.

The company provides a white-label solution for insurers to brand their own technology.

Assured.Claims combines AI and human interaction for empathetic claims communication.

Upsides

Increased AI adoption enhances claims process with 24/7 support and reduced response times.

IoT integration allows real-time data collection, improving claims accuracy.

Remote work trends drive demand for digital claims solutions, boosting Assured.Claims' market.

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