Claims Adjudication Process_Contract Role_Who @ CIEL HR

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Claims Adjudication Process_Contract Role_Who

CIEL HR
2 - 4 years
Coimbatore
2 years ago
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Job Description

Years of Experience: 3+ Years

Relevant Experience:2+ Years in the adjudication process

Job Location: Coimbatore(Remote Job)

Notice Period: Immediate joiners

Employment Type: Contract to Hire

Work Timing: US Shift

Role:

More than 3 years of experience in handling the Healthcare claims adjudication process.
2+ years of experience processing claims for the US healthcare market.
Experienced level adjudicator providing analytical ability to review claim rules and workflows.
Reviews claim requests to determine eligibility for processing and escalate to management as necessary.
Responsible for the coordination and resolution of the administrative denials and appeals
Ability to understand the logic of standard medical coding (i.e. CPT, ICD-10, HCPCS, etc.).
Ability to resolve claims that require adjustments and adjustment projects, Identify claim(s) with inaccurate data or claims that require review by appropriate team members.
Organizing and completing tasks per assigned priorities.
Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services, and processes performed by the team
Resolving complex situations following pre-established guidelines

If you think this role is aligned with your career, kindly write me an email along with your updated CV at sw**i@ci***r.com

Job Classification

Industry: BPO / Call Centre
Functional Area: Healthcare & Life Sciences,
Role Category: Health Informatics
Role: Health Informatics
Employement Type: Contract

Education

Under Graduation: Any Graduate
Post Graduation: Post Graduation Not Required

Contact Details:

Company: CIEL HR Services Pvt Ltd
Location(s): Coimbatore

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Keyskills: US Healthcare Claims Adjudication us shift

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Preferred City (* max. 2 w/comma)

Designation / Expected Role

Current / Recent Company (*)

Experience (*)

Expected Salary (*)

Desired Industry (*):

Functional area / Department (*):

Enter Skills (key skills, subjects, technologies & roles to use in search)

Write briefly about yourself, your experience and education (*)

Attach ResumeMax 2.38 MB (RTF, PDF, DOC, DOCX formats only parsed)

Please, check the file size and type.

Add social media [ + ]

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CIEL HR

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Claims Adjudication Process_Contract Role_Who @ CIEL HR

Home > Health Informatics