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Medical Claims Officer jobs

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    • Interact professionally with other business units to gather and analyze data needed to properly adjudicate claims and documentation of claims files.
    • Experienced on medical billing/ AR Collections.
    • Ability to identify and correct medical billing errors.
    • Background in calling insurance (Payer) to verify claim…
    • Previous administrative experience and claim for cash.
    • Preparing setting up clients internally, creating service and accommodation agreements following up to…
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    • Strong medical science knowledge to comprehend medical reports.
    • Key Skills: Ability to review and analyze complex medical documentation with a high degree of…
    • Maintain strict confidentiality related to medical records and claims related data.
    • Track claim status, follow up on pending claims, and assist in resolving…
    • Forward high cost amount claims to the medical team for evaluation.
    • Optional Experience: Previous experience in medical insurance.
    • Accurate processing and completion of medical claims.
    • Process claims that route out of automatic adjudication, within current turnaround standards.
    • Understanding of claim life cycle.
    • Be able to understand and apply plan concepts to include:
    • Recognize issues related to variable deductible, coordination of…
    • Associate would also need to liaise with claims handlers on need basis.
    • The process includes claim adjudication, checking compensability, invoice review and the…
  • Claim Processing , Team Leading , Fresher can apply . Pay: ₹25,000.00 - ₹40,000.00 per month Benefits: * Life insurance Work Location: In…
    • Mentor junior claim analysts by sharing best practices in claims adjudication HIPAA compliance and issue resolution while still performing individual…
    • Assessing and processing claims for medical expenses while always bearing in mind the importance of medical confidentiality.
    • Verification of the claim documents.
    • Follow up for the claim documents.
    • Managing the escalation related to claims.
    • Explaining the claim query to the employee.
    • Maintain claim records, MIS reports, and claim documentation.
    • The candidate will be responsible for handling claims related to Marine, Fire, Burglary, and other…
    • Maintain claim records, MIS reports, and claim documentation.
    • The candidate will be responsible for handling claims related to Marine, Fire, Burglary, and other…

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Job Post Details

Claim Associate - job post

CHCS Services
3.4 out of 5 stars
Remote
Up to ₹4,00,000 a year

Job details

Pay

  • Up to ₹4,00,000 a year

Job type

  • Full-time

Full job description

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.

· Ensure all cases should be process as per the guidelines.

· Responsible for timely request and follow-up of any/all required additional information for proper claim adjudication.

· Operate within company regulations regarding HIPAA, fraud, confidentiality, and private health information guidelines.

· Interact professionally with other business units to gather and analyze data needed to properly adjudicate claims and documentation of claims files.

· Work as a member of special or on-going projects that are important to area/process improvement

· Responsible for suggesting methods to improve area operations, efficiency and service to both internal and external customers

QUALIFICATIONS EDUCATION and/or EXPERIENCE

· Should have 0 to 2 years on work experience in US Health care Insurance claims Domain

· Strong knowledge of claims, customer care processes and techniques

· Demonstrated ability to work well in a team environment

Pay: Up to ₹400,000.00 per year

Work Location: Remote

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