Claims Auditor
7 days ago
Role & Responsibilities
- Minimum experience of 3 years in health insurance claims processing specifically the cashless and hospital payment claims
- Sound understanding of health insurance processing terminologies/concepts/guidelines
- Skills for using moderate proficiency level MS Excel /Word
- Preferred experience of audit/QC of claims, ability to identify the reasonable/un-reasonable expenses of bills in relation to the T&C applicable.
- Good knowledge of hospital billing patterns, and understanding of claims adjudication for payment
- Maintain productivity reports, and good communication skills
- Agile ability to adopt as per business need/process dynamics.
Location- Noida-2 (Sector 62) - work from office
Qualification - Medico (BHMS/BAMS) for hospital provider payment claims including cashless
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