Claims Adjudication Process_Contract Role_Who
- CIEL HR
- 2 - 5 years
- Chennai
- 4 years ago
- Email to a friend
- Report this job
Job Description
Years of Experience: 2+ Years
Relevant Experience:2+ Years in the adjudication process
Job Location: Coimbatore/Chennai
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 CentreFunctional Area: Healthcare & Life Sciences, Role Category: Healthcare & Life Sciences - OtherRole: Healthcare & Life Sciences - OtherEmployement Type: ContractEducation
Under Graduation: Any GraduatePost Graduation: Any PostgraduateDoctorate: Any DoctorateContact Details:
Company: CIEL HR Services Pvt LtdLocation(s): Chennai+ View Contact
Keyskills: Claims Adjudication ICD-10 CPT
Fraud Alert to job seekers!
₹ 2,00,000 - 3,00,000 P.A
Similar positions
Job Listings
We are in open beta version of website, please let us know if any issues, at: info(at)indigojobs.in