Medical Summary jobs in Bengaluru, Karnataka
- ContactPoint 360Bengaluru, Karnataka
- Optional Experience: Previous experience in medical insurance.
- Experience with ICD-10 and CPT medical coding.
- Process healthcare claims and determine the amount…
- InfoWryt Solutions LLPKoramangala, Bengaluru, Karnataka
- Ability to understand different accents and medical dictations.
- Maintain proper formatting and documentation standards across medical records.
- CURA HOSPITALSBengaluru, Karnataka
- Prepare and type patient discharge summaries as per doctors’ instructions.
- Proofread reports for spelling, grammar, medical terminology, and formatting accuracy…
- View all CURA HOSPITALS jobs - Bengaluru, Karnataka jobs
- Salary Search: Medical Transcriptionist salaries in Bengaluru, Karnataka
- Pranodha Health Care LLPBangalore City, Bengaluru, Karnataka
- Review patients' medical history, hospital discharge summaries, investigation reports, medications, and ongoing treatment plans.
- St. John’s National Academy of Health SciencesBengaluru, Karnataka
- FMGE qualification mandatory for foreign medical graduates.
- Competitive salary as per industry standards.
- MBBS degree from a recognized institution.
- GenpactKarnataka
- Assist employees with insurance-related queries, claim processes, and medical assistance requirements.
- We are looking for a proactive, detail-oriented, and…
View similar jobs with this employerAccentureBengaluru, Karnataka- This experience includes day to day operations, department activities, medical and health services, budgeting and rating, research and education, policies and…
View similar jobs with this employerAccentureBengaluru, Karnataka- This experience includes day to day operations, department activities, medical and health services, budgeting and rating, research and education, policies and…
- Speech2textVasanth Nagar, Bengaluru, Karnataka
- Medical Record Review involves a detailed analysis of the medical records of a patient, which may.
- Include physician/nursing notes, diagnostic tests (lab tests,…
- Connect and Heal Primary Care Private LimitedBangalore City, Bengaluru, Karnataka
- Prepare regular reports and summaries on claim metrics, trends, and outcomes for management review.
- Verification and Documentation: Verify the accuracy and…
- The Cigna GroupBengaluru, Karnataka
- Evaluates medical information against criteria, benefit plan, coverage policies and determines medical necessity.
- Strong interpersonal and communication skills.
- FortreaBengaluru, Karnataka
- Responsible for preparation and review of clinical documents such as patient safety narratives and clinical study report (CSR) appendices.
- Herewise consultancyBangalore City, Bengaluru, Karnataka
- Cab Facility:* Available within applicable company boundaries.
- The ideal candidate should have prior experience in US Healthcare / US Insurance processes and…
- CalpionBengaluru, Karnataka
- As a medical coder, You need to translate details from a patient's medical documents, such as physician's notes, lab reports, procedures, and diagnoses, into…
- Natus Hospital Sarjapur / Hosa Road, BangaloreBengaluru, Karnataka
- Transcribe medical dictations, consultation notes, discharge summaries, operative notes, and other clinical documents accurately.
- RANGADORE MEMORIAL HOSPITALBengaluru, Karnataka
- Enter summaries and related documents into the application software with high accuracy.
- Type OP/IP reports and discharge summaries once files are received from…
Medical Claims Processor Specialist
Job details
Full job description
JOB Description : Claims Processor
Summary:
Process healthcare claims and determine the amount of healthcare benefits to be paid to the providers for the given portfolio.
Tasks:
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Process and adjudicate the claims as per the Table of Benefit of the member
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Check eligibility of the insured and dependents
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Check premium status where necessary
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Check claims as per policy requirements
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Check provider’s page for bank details and correct Provider -code to use
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Forward payment notices to Claims Supervisor for validation
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Check provider agreed tariffs in case of direct billing claims
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Capture the medical services with the adequate codes (ICD 10 – CPT)
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Process correct healthcare claims and prior approval agreements within deadlines and as per contract provisions
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Forward high cost amount claims to the medical team for evaluation
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Detect any case of abuse or fraud
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Claims audit targets are being met
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Ensure daily productivity targets are met as set by management
QUALIFICATIONS
Experience:
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Optional Experience: Previous experience in medical insurance
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Experience with ICD-10 and CPT medical coding
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English a must (German/french good to have)