Claims Auditor
3 weeks ago
- Looking for Claims Auditor in Healthcare - Min 3 Years of experience.
Responsibilities
-Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domainMedical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience in US Healthcare (Payer/Provider LOB)Preferred to have worked over a period of time in US Healthcare payer/provider domainUnderstand the business model for our delivery center and then implement the same in the training verticalShould have effective communication skills to coordinate with program SMEs and candidatesShould be well accustomed with reporting, presentations, creating training materials (videos/document) in granular levelShould possess understanding of High Cost Drug and Durable Medical equipment auditing through Medical records reviewPreviously working for US Healthcare Payer vertical/LOB will be an added advantageFollow every aspect of SOP without failComplete received Audits with QualityTo meet the team/Client Quality and 100% of production target on a daily basisFollow project related protocols and instructionsEscalate issues, identify trends...Update all the logs like productivity, Clarification log, and any other logs applicable on a daily basisShould be read to extend support working on weekends a and when applicableShould be a good team member to ensure the smooth service deliveryShould be a good and fast learnerAll emails from Leads, Team members, Manager and higher hierarchy should be answered promptly without failEnsure Healthcare compliance of entire team for HIPAA, OIG, PHI etc.
Qualifications
- Graduation is mandatory (bachelor's degree)
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Claims auditor
3 weeks ago
Chennai, India EXL Full timeAbout the Role - Looking for Claims Auditor in Healthcare - Min 3 Years of experience.Responsibilities -Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domainMedical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience in US...
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Claims Auditor
3 weeks ago
Chennai, India EXL Full timeAbout the Role - Looking for Claims Auditor in Healthcare - Min 3 Years of experience.Responsibilities -Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domainMedical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience in US...
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Claims Auditor
3 weeks ago
Chennai, India EXL Full timeAbout the Role - Looking for Claims Auditor in Healthcare - Min 3 Years of experience.Responsibilities -Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domainMedical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience in US...
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Claims Auditor
3 weeks ago
Chennai, India EXL Full timeAbout the Role - Looking for Claims Auditor in Healthcare - Min 3 Years of experience.Responsibilities -Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domainMedical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience in US...
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Claims Auditor
3 weeks ago
Chennai, India EXL Full timeAbout the Role - Looking for Claims Auditor in Healthcare - Min 3 Years of experience. Responsibilities - Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domain Medical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience in US...
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Claims Auditor
3 weeks ago
Chennai, India EXL Full timeAbout the Role - Looking for Claims Auditor in Healthcare - Min 3 Years of experience. Responsibilities - Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domain Medical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience...
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Claims Auditor
3 weeks ago
Chennai, India EXL Full timeAbout the Role - Looking for Claims Auditor in Healthcare - Min 3 Years of experience. Responsibilities - Specifically in Claims adjudication, claims processing, pricing, administrative records review experience pertinent to US Healthcare PAYOR domain Medical Records Management, Clinical Audit based on Medical Records Review, Seasoned experience...
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