Bilingual Mandarin Analyst

About the job Bilingual Mandarin Analyst

Key Responsibilities

• Determine customer eligibility by reviewing contractual language and medical documentation, interpret information and make decisions based on facts presented
• Assess medical appropriateness of claims submitted, and adjust claims as needed
• Pay all covered claims accurately and timely
• Execute on all client and provider SLA agreements
• Attain individual and team quality and productivity targets
• Manage both new claims and open claims equality and maintains decision turnaround times (TAT)
• Understand account Operations and Corporate Compliance, Polices and Procedures and best practices
• Stay abreast of ongoing trainings associated with role and business unit objectives

Qualifications

• Can speak and understand Chinese/Mandarin language
• Excellent attention to detail, quality, and accuracy
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