Claims Adjudicator

Position: BPO Claim Adjudication(US Healthcare) Experience: 1-4years Notice period: 0-45days Skills: Must have experience in Claims Adjudication Good Exposure on COB and HIPAA **Salary**: ₹100,000.00 - ₹300,000.00 per year **Benefits**: - Cell phone reimbursement - Health insurance - Provident Fund Schedule: - Night shift Supplemental pay...

Experience: 1-3 Years Notice Period: Immediate - 15 Days Joiners Location: Chennai,Coimbatore **Skills**: - 1-3 years of experience in processing claims adjudication and adjustment process - Experience of Facets is an added advantage. - Experience in professional (HCFA), institutional (UB) claims (optional) - Both under graduates and post graduates can...

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, of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations -...

Location : Chennai (Remote) Experience: 1-3 years. Package: 3 LPA **Requirements**: **- 1-3 years of experience in processing claims adjudication and adjustment process** **- Experience of Facets is an added advantage.** **- Experience in professional (HCFA), institutional (UB) claims (optional)** **- Both under graduates and post graduates can...

**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...

Hi We are looking for a Sr. Claim Processor & Quality Analyst for one of our US-based client for their offshore office in Chennai. Job type: ONSITE, NIGHT SHIFT **Position : Claim Adjudication Executive** **Job Description**: Do quality check on the claims processed by Analysts/TraineesTrack the errors and provide feedback to the erring...

**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...

Hi, Position: Health Care & Insurance Operations Associate Experience: 1 to 4 Years Location: Chennai& Coimbatore Currently WFH 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 -...

Must Have - Cliams Adjudication Exp - 1 + years 4 + years Location - Chennai Notice - Immediate Skills Expectation: Experienced level adjudicator providing analytical ability to review claim rules and workflows. Reviews claim requests to determine eligibility for processing and escalate to management as necessary. Responsible for the...

Must Have - Cliams Adjudication Exp - 1 + years 4 + years Location - Chennai Notice - Immediate Skills Expectation: Experienced level adjudicator providing analytical ability to review claim rules and workflows. Reviews claim requests to determine eligibility for processing and escalate to management as necessary. Responsible for the coordination and...

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...

**Job description**: **Sr Claim processor/Sr Claim adjudicator**Do quality check on the claims processed by Analysts/TraineesTrack the errors and provide feedback to the erring Analysts/traineesEnsure process guidelines are followed and met as documentedRaise process related issues / concerns on time with process and team leadsStay updated with the process...

**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...

**CLAIM EXAMINER ADJUDICATION** Claims examiners are confident decision-makers playing an important oversight role in the claims process. The role comes with the responsibility of overseeing the work of their colleagues and ensuring that high standards are always met. - Responsible for the coordination and resolution of the administrative denials and...

Claims Processing Representative (US Night Shift) Includes insurance verification and retrieval of medical records and documents from various systems for the timely filing or re-adjudication of Workers compensation claims by the Revenue Specialists. Primarily interacts by phone with outside parties. **Responsibilities**: - Contacting Employers, Insurers...

Roles and Responsibilities: 2-3 years of experience in processing claims adjudication and adjustment process Experience in professional (HCFA) and institutional (UB) claims Knowledge in handling authorization, COB, duplicate and pricing process Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible,...

Roles and Responsibilities:2-3 years of experience in processing claims adjudication and adjustment processExperience in professional (HCFA) and institutional (UB) claimsKnowledge in handling authorization, COB, duplicate and pricing processKnowledge of healthcare insurance policy concepts including in network, out of network providers, deductible,...

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 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...