Claims Adjuster
10 hours ago
Hello Everyone,
Calibrated Healthcare is hiring for a US healthcare claim examiner. if interested mail your resume on
*Job Title:* US Healthcare Claim Examiner
*Experience:* 1+ year
*Location:* [Dwarka sector 8]
*Job Type:* Full-time (In-Office )
*Job Summary:*
We're seeking a detail-oriented and analytical Healthcare Claim Examiner to join our team. As a Claim Examiner, you'll review and process healthcare claims, ensuring accuracy and compliance with regulatory requirements, policy terms, and industry standards. If you have a strong understanding of medical terminology, coding systems, and healthcare regulations, we'd love to hear from you
*Key Responsibilities:*
*Claim Review and Adjudication:*
Review healthcare claims for accuracy, completeness, and compliance with policy terms, regulatory requirements, and industry standards.
Analyze medical records, billing information, and other relevant documentation to determine claim validity and coverage.
Apply knowledge of medical terminology, coding systems (ICD-10, CPT, HCPCS), and healthcare regulations to adjudicate claims accurately.
.
*Requirements:*
1+ year of experience in the US healthcare claim examination or a related field.
Excellent analytical, problem-solving, and communication skills.
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