Claims Adjudication

Job title: Claims Adjudication

Company: Ciel HR

Job description: 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 clai

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- [HIDDEN TEXT]

Expected salary:

Location: India

Job date: Sat, 10 Sep 2022 22:12:48 GMT

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