Healthcare Claims Adjudication Specialist

As a team member of our healthcare claims adjudication unit, you will play a crucial role in ensuring timely and accurate processing of medical claims.Key ResponsibilitiesReview and process healthcare claims according to established policies and procedures.Analyze and resolve claim discrepancies in a prompt and efficient manner.Collaborate with internal...

Job Summary University degree or equivalent that required formal studies of the English language and basic Math Immediate Joiner and chennai Location - Claims Adjudication. 2+ year(s) of experience processing claims for the US healthcare market Knowledge of HRP - added advantage - Claims Adjudication. 6+ months of data entry experience that required a focus...

Job Summary Requirement - 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...

We are currently seeking a skilled Healthcare Claims Resolution Specialist to join our team. As an experienced AR caller with a strong background in oncology billing and collections, you will play a vital role in resolving outstanding accounts receivable, analyzing denied or underpaid claims, and ensuring compliance with industry standards.Key...

Claims Processing AssociateThe Claims Processing Associate role is a vital part of our organization. This position involves handling and processing claims, ensuring timely and accurate resolution for our clients.Process claims from receipt to final resolution.Verify client information and validate claim details.Communicate with clients regarding claim status...

Job DescriptionGather, analyze and document business requirements related to HIPAA regulations and guidelines. Ensure system changes, processes and documentation remain compliant with healthcare payer rules.Required Skills and QualificationsKnowledge of healthcare regulations including CMS, NCQA, and state-specific rules.Ability to communicate effectively...

Medical Coding SpecialistWe are seeking a Medical Coding Specialist to join our team.Clinical Documentation Reviewer: Ensure accuracy and completeness of patient medical records by reviewing clinical documentation and assigning appropriate diagnosis and procedure codes using ICD-10-CM, CPT (and HCPCS if applicable) guidelines.Risk Adjustment/HCC Coding...

Claims inspector / scrap handlers review claims to verify both the claimant and claim adjuster followed due process during the investigation and reporting phase of a case. Claims examiners ensure compliance and approve or deny claims while assisting adjusters when needed. They diligently review reports to ensure that no errors have been made in the appraisal...

About Job:- Claims Management Specialist is responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers. The job purpose of a Claims Management Specialist is to process and manage cashless claims for employees. This includes...

Key Account Resolution SpecialistWe are seeking an experienced Key Account Resolution Specialist with a strong background in Oncology billing and collections. The ideal candidate should have at least 3 years of AR calling experience specifically in oncology, excellent communication skills, and the ability to handle complex claim resolutions while ensuring...