Claims Adjuster

**Adjudication - Claim Examiner** - Review medical documents, policy documents, policy history, Claims history, and system notes - Ability to understand logic of standard medical coding (i.e., CPT, ICD-10, HCPCS, etc.) - Process Insurance Claims timely and qualitatively - Ability to resolve claims that require adjustments and adjustment projects. - Identify...

**Position**:Health Care & Insurance Operations Associate **Experience**: 1 to 4 Years **Location**: Remote **Notice Period**:Immediate to 15 days **Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process - Knowledge of...

**Position: Health Care & Insurance Operations Associate** **Experience: 1 to 4 Years** **Location: Remote** **Notice Period: Immediate to 15 days** **Requirements**: - **1-3 years of experience in processing claims adjudication and adjustment process**: - Experience of **Facets is an added advantage**. - Experience in **professional (HCFA),...

**Position**:Health Care & Insurance Operations Associate **Experience**: 1 to 4 Years **Location**: Remote **Notice Period**:Immediate to 15 days **Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process - Knowledge of...

**Role**: HC & Insurance Operations Associate **Shift Timings**: 6 PM-4 AM IST (AR SHIFT) **Location**: Chennai/Coimbatore (Currently Remote) **Double vaccination required** **Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims...

Roles and Responsibilities: Process Adjudication claims and resolve for payment and Denials Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and...

Roles and Responsibilities:Process Adjudication claims and resolve for payment and DenialsKnowledge in handling authorization, COB, duplicate, pricing and corrected claims processKnowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and...

**Requirements**: - 1-3 years of experience in processing claims adjudication and adjustment process - Experience in professional (HCFA), institutional (UB) claims (optional) - Both under graduates and post graduates can apply - Good communication (Demonstrate strong reading comprehension and writing skills) - Able to work independently, strong analytic...

**Requirements**: - 1-3 years of experience in processing claims adjudication and adjustment process - Experience in professional (HCFA), institutional (UB) claims (optional) - Both under graduates and post graduates can apply - Good communication (Demonstrate strong reading comprehension and writing skills) - Able to work independently, strong analytic...

**Requirements**: - 1-3 years of experience in processing claims adjudication and adjustment process - Experience in professional (HCFA), institutional (UB) claims (optional) - Both under graduates and post graduates can apply - Good communication (Demonstrate strong reading comprehension and writing skills) - Able to work independently, strong analytic...

**Position: HC & Insurance Operations Associate** **Location: Chennai/Coimbatore** **Experience: 1 to 3 years** **Notice period: Immediate joiners** **Roles and Responsibilities**: -      Process Adjudication claims and resolve for payment and Denials -      Knowledge in handling authorization, COB, duplicate, pricing and corrected...

**MEDICAL BILLER AND AR (End to END RCM) - Specialist** **Would you like to join an organization that is experiencing rapid growth? You may be the person we are looking for!** NextGen Business Solution looking for experienced end to end Medical Biller - ( RCM ) NGBS was founded with the goal of revolutionizing health care by providing exemplary services...

AR Caller: **PRINCIPAL ACCOUNTABILITIES** - After patient transactions have been properly coded, create billing batches - Review information from the patient''s file on system chart - Verify insurance coverage - Bill per procedure and appropriate contract - Verify procedures and check modifiers - Calculate correct fee and process billing transactions -...

**MEDICAL BILLER AND AR (End to END RCM) - Specialist** **Would you like to join an organization that is experiencing rapid growth? You may be the person we are looking for!** NextGen Business Solution looking for experienced end to end RCM specialist NGBS was founded with the goal of revolutionizing health care by providing exemplary services to our...

**Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process - Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits...

**Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process - Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits...

**Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process - Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits...

Roles and Responsibilities: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process - Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and...

We are currently seeking a HC & Insurance Operations Associate to join our team in Coimbatore, Tamil Nādu (IN-TN), India (IN). **Roles and Responsibilities**: - Process Adjudication claims and resolve for payment and Denials - Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process - Knowledge of healthcare insurance...

**About NTT DATA Services** - NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, colour, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected...