Claims Adjuster

Previous experience as a claims adjuster or similar role Working experience in using appraisal software Strong analytical and mathematical skills Experience in writing detailed reports A compassionate and resilient personality High school diploma Degree in Insurance, Finance or similar field is a plus **Job Types**: Full-time, Permanent, Fresher,...

**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...

**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...

Senior Claims Examiner RoleThis role involves claims adjudication and adjustment, focusing on professional (HCFA) and institutional (UB) claims. The ideal candidate will have 2-3 years of experience in handling authorization, COB, duplicate and pricing processes. They should also be knowledgeable about healthcare insurance policy concepts, including...

Job DescriptionAs a Claims Operations Associate, you will be responsible for processing claims adjudication and adjustment processes. You will have experience in professional HCFA and institutional UB claims, as well as knowledge of healthcare insurance policy concepts.Key Responsibilities:Audit claims as outlined by Policies and Procedures.Utilize...

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...

**In this Role you will be Responsible For** - 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 resolution of the administrative denials and appeals - Ability to...

Insurance Call SpecialistJob Description:Responsibilities include contacting insurance companies to follow up on unpaid or denied claims.Review and analyze Explanation of Benefits (EOBs) to identify reasons for denials or delays.Take corrective actions based on payer responses, including resubmissions, appeals, or adjustments.Update billing software with...

Process and manage claims adjudication and adjustment processes for healthcare and insurance organizations. The ideal candidate will have 2-3 years of experience in handling professional (HCFA) and institutional (UB) claims.Key Responsibilities:Audit claims according to established policies and proceduresDetailed tracking of findings per organizational...

POSITION : AR CALLER - 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 - Demonstrates general...