Job title: Claims Adjudication
Company: Ciel HR
Job description: Role :Claims Adjudication
Experience :2+years
Location :Coimbatore, Chennai
Skills- Claim process, Medical Coding
Shift :US shifts
Claims Experience In 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
Contact- indrayani.r@cielhr.com
Expected salary:
Location: Chennai, Tamil Nadu
Job date: Sat, 10 Sep 2022 06:20:01 GMT
Apply for the job now!