Company Name: Guidehouse
Job Role: Process Associate – Healthcare Claims
Location: Chennai, Tamil Nadu
Process Type: Back Office
Experience Required: 1–2 Years
Shift Details: Night Shift
Required Skills: Claims Processing, Attention to Detail
Job Description
Guidehouse is seeking detail-oriented professionals for the position of Process Associate – Healthcare Claims in Chennai. The role involves reviewing healthcare claims, verifying patient and service information, checking supporting documents, and processing claims in accordance with established guidelines. Candidates will be responsible for maintaining accurate records, identifying discrepancies, and ensuring that claims-related tasks are completed within the required timelines.
This opportunity is suitable for candidates with 1–2 years of experience in healthcare operations, medical claims processing, or related back-office functions. Applicants should have strong analytical skills, attention to detail, and the ability to handle confidential information responsibly. Candidates must be comfortable working night shifts and following quality standards to support accurate and efficient healthcare claims operations.
Key Responsibilities
- Review healthcare claims for accuracy, completeness, and required documentation.
- Verify claim details against established processing guidelines.
- Enter and update claims information in the appropriate systems.
- Identify missing information, duplicate claims, and data discrepancies.
- Process claims according to standard operating procedures and quality requirements.
- Maintain accurate records of completed and pending claims.
- Escalate complex cases or exceptions to the appropriate team.
- Protect confidential patient and healthcare information.
- Meet daily productivity, accuracy, and turnaround-time targets.
- Coordinate with team members to resolve processing issues and reduce errors.
Required Skills
- Knowledge of healthcare claims processing.
- Strong attention to detail and data accuracy.
- Basic understanding of healthcare administration and claims documentation.
- Good analytical and problem-solving abilities.
- Basic computer skills and data-entry proficiency.
- Ability to follow standard operating procedures.
- Good written communication skills.
- Ability to manage repetitive tasks while maintaining accuracy.
- Willingness to work night shifts.
Eligibility Criteria
- Candidates with 1–2 years of relevant experience are preferred.
- Experience in healthcare claims, medical billing, or healthcare back-office operations is desirable.
- Candidates should possess the educational qualifications required by the employer.
- Ability to handle sensitive information with confidentiality is essential.
- Willingness to work night shifts from the Chennai location is required.
Job Details
Department: Healthcare Operations
Functional Area: Claims Processing
Process: Back Office
Experience Level: Early Career
Work Location: Chennai, Tamil Nadu
Shift: Night Shift
