
Claim Processor
4 days ago
Job Title: Claim Processor
Open Positions: 2 Vacancies
Location: Konankunte cross
Job Summary:
We are seeking candidates with a minimum of 1 year of experience in Indian health Insurance/TPA (Added Advantage) who have strong communication and along with good medical knowledge in Claims Adjudication.
Qualifications:
Degree in M pharma, B Pharma, Pharm D BAMS, BHMS, BSMS, or MBBS .
Candidates who can join immediately or within 15 days are preferred.
Roles & Responsibilities:
Ensuring accuracy and compliance in medical claims adjudication.
Knowledge & Skill Requirements:
- Technical Competencies:
- Claims processing Preauthorization, Cashless, Reimbursement, Medical Adjudication, and Billing experience.
- Understanding of GIPSA/MA packages, SOC, and Tariff deviations.
- Identifying bill inflations in insurance billing.
Knowledge of surgeries, advanced treatments, and procedure costs.
Behavioral Competencies:
- Strong communication skills (verbal & written).
- Teamwork and collaboration.
- Time management and multitasking.
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