Job title: Claim Adjudication

Company: Ciel HR

Job description: Experience :2+years Type:Contract Location :Coimbatore, Chennai Shift :US shifts Claims ExperienceIn this Role you will be Responsible For * Experienced level adjudicator providing analytical ability to review claim rules and workflows. * Revie

Experience :2+years Type:Contract Location :Coimbatore, Chennai Shift :US shifts Claims ExperienceIn this Role you will be Responsible For 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 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 About CIEL HR Ciel HR marks the return of HR visionaries to the HR Services industry, powered by technology and analytics. The Founders of Ma Foi, the pioneer of the HR services sector in India, along with some of the finest brains in the HR Services Industry have envisioned and built the firm, CielHR, to deliver the full range of Recruiting services from Executive Search, Recruitment Process Outsourcing and Staffing Permanent as well as Temporary roles through its offices in India and the Middle East. Contact:[HIDDEN TEXT]

Expected salary:

Location: India

Job date: Sun, 03 Jul 2022 22:28:56 GMT

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