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.
- 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.
- The Cigna GroupBengaluru, Karnataka
- Evaluates medical information against criteria, benefit plan, coverage policies and determines medical necessity.
- Strong interpersonal and communication skills.
- St. John’s National Academy of Health SciencesBengaluru, Karnataka
- The SMaRT Trial is an intervention study evaluating the effects of a structured progressive resistance exercise and nutritional intervention on muscle health…
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…
- Natus Hospital Sarjapur / Hosa Road, BangaloreBengaluru, Karnataka
- Transcribe medical dictations, consultation notes, discharge summaries, operative notes, and other clinical documents accurately.
- FortreaBengaluru, Karnataka
- Responsible for preparation and review of clinical documents such as patient safety narratives and clinical study report (CSR) appendices.
- SAPTHAGIRI HOSPITALBengaluru, Karnataka
- Position Summary: Ensure zero stock-outs of critical medical items, maintain regulatory compliance, manage inventory tracking, and supply clinical units (ICU,…
- View all SAPTHAGIRI HOSPITAL jobs - Bengaluru, Karnataka jobs
- Salary Search: Hospital Store In-charge salaries
- 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…
- GenpactKarnataka
- Assist employees with insurance-related queries, claim processes, and medical assistance requirements.
- We are looking for a proactive, detail-oriented, and…
- GenpactKarnataka
- Assist employees with insurance-related queries, claim processes, and medical assistance requirements.
- We are looking for a proactive, detail-oriented, and…
- 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…
- CaterpillarBengaluru, Karnataka
- Additional benefits include paid annual leave, flexi leave, medical and insurance (prorated based upon hire date).
- Degree or equivalent experience desired.
- Global Healthcare Academy Private LimitedBengaluru, Karnataka
- We collaborate with clinicians, academic leaders, and healthcare institutions to deliver high-quality continuing medical education (CME), certification programs…
- Speech2textBengaluru, Karnataka
- We are looking candidate for MT's/Editor with minimum 6 to 8 years of experience.
- Job Types: Full-time, Walk-In.
- Total work: 5 years (Preferred).
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:
-
Process and adjudicate the claims as per the Table of Benefit of the member
-
Check eligibility of the insured and dependents
-
Check premium status where necessary
-
Check claims as per policy requirements
-
Check provider’s page for bank details and correct Provider -code to use
-
Forward payment notices to Claims Supervisor for validation
-
Check provider agreed tariffs in case of direct billing claims
-
Capture the medical services with the adequate codes (ICD 10 – CPT)
-
Process correct healthcare claims and prior approval agreements within deadlines and as per contract provisions
-
Forward high cost amount claims to the medical team for evaluation
-
Detect any case of abuse or fraud
-
Claims audit targets are being met
-
Ensure daily productivity targets are met as set by management
QUALIFICATIONS
Experience:
-
Optional Experience: Previous experience in medical insurance
-
Experience with ICD-10 and CPT medical coding
-
English a must (German/french good to have)