Medical Claims Processor

2 months ago

Mysore, India ThoughtFocus Information Technologies Full time

**KEY JOB RESPONSIBILITIES**
- Completes accurate analysis of claim determination for payment or denial based on established rules and processes.
- Monitor claim inventory of assigned accounts and ensure turnaround and productivity benchmarks are met.
- Processes claims from returned pended claims reports and those containing claim edits.
- Manually prices claims based on specific rates.
- Audit peer’s work for continued cross training and education.
- Follow-up on provider calls on status, explanation of payment, billing errors, and refund requests.
- Communicate to Claims Leadership any issues that would impede the accurate and timely processing of claims.

**KNOWLEDGE, SKILLS, AND ABILITIES**
- Must be willing to work in **US (Night) Shift**.
- Must have strong expertise with **CPT4 & ICD10** Medical Codes
- Must be alert at all times; pay close attention to details.
- Must be able to work under stress on a regular or continuous basis

**Salary**: ₹300,000.00 - ₹500,000.00 per year

Schedule:

- Night shift

Ability to commute/relocate:

- Temple Road, V V Mohalla, Mysore - 570002, Karnataka: Reliably commute or planning to relocate before starting work (required)

**Experience**:

- Medical Claims processing: 2 years (required)

Shift availability:

- Night Shift (required)

**Speak with the employer**
+91 7411043116
Expected Start Date: 25/01/2023

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