Claim Examiner

1 month ago


Chennai, India Synthesis healthsoft Services and Solutions llp Full time

**Adjudication - Claim Examiner "Fresher or Experience"**
- 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.
- Meet & Exceed Production, Productivity, and Quality goals
- Process Insurance Claims timely and qualitatively

**1) Fresher**
- Any graduate.
- Good Analytical skills.
- Good communication skills.
- Working knowledge of MS office tools.
- Willing to work in any shift.

**2) Experienced**
- Any graduate.
- Having 1-5 years experience in HCFA/UB claim processing.
- Having good exposure to CMS processing guidelines.
- Good Analytical skills.
- Good communication skills.
- Working knowledge of MS office tools.
- Willing to work in any shift.

**Eligible Criteria**:

- Any Degree/ Diploma
- Day Shift
- **JOB LOCATION**:Chennai

**Contact: Sabarinathan R- HR Manager -
+91-XXXXXXXXXX
**Salary**: ₹15,500.00 - ₹20,000.00 per month

**Benefits**:

- Flexible schedule
- Health insurance
- Leave encashment
- Paid sick time
- Provident Fund

Schedule:

- Day shift
- Flexible shift
- Monday to Friday
- Morning shift

Supplemental pay types:

- Overtime pay
- Performance bonus
- Shift allowance
- Yearly bonus

Ability to commute/relocate:

- Kottivakkam, Chennai - 600041, Tamil Nadu: Reliably commute or planning to relocate before starting work (required)

Application Question(s):
**Education**:

- Bachelor's (preferred)

**Experience**:
**Speak with the employer**
+91 9176332863


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