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claim adjudication
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Navi Mumbai, Maharashtra, India INTEGRUM OUTSOURCE SOLUTIONS PVT LTD Full time ₹ 2,40,000 - ₹ 3,00,000 per yearShould possess U.S Health insurance claim processing experienceKnowledge of medical billing and coding terminologiesReady to work in Night Shift as well as Day shiftUnderstanding of plan documents and general benefitsFamiliarity with terms such as deductible, out of pocket, coinsurance, and copayStrong attention to detail and accuracyAbility to work in...

Medical Claims
2 weeks ago
Verify patient insurance coverage
- Generate bill estimate based on hospital guidelines and determine patient copay / deposit
- Handle end to end documentation for billing and claims of health insurance patients based on information provided by the hospital
- Obtain required case information and signoff from hospital and share information with insurer / TPA
- Draft query responses based on guidance of medical lead
- Coordinate with hospital to ensure courier of physical file in timely manner
- Maintains dashboards and monthly reports for hospitals
- Reconcile claim settlements with hospital records
- Communicate professionally with clients and insurers / TPAs and offer good customer service
**Job Types**: Full-time, Permanent
Pay: ₹18,000.00 - ₹20,000.00 per month
Schedule:
- Day shift
Supplemental Pay:
- Yearly bonus
**Experience**:
- TPA / hospital billing: 2 years (preferred)
Work Location: In person
Application Deadline: 15/05/2025
Expected Start Date: 22/04/2025