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    Senior Claims Examiner - Chennai, India - Synthesis Healthcare Services LLP

    Synthesis Healthcare Services LLP
    Synthesis Healthcare Services LLP Chennai, India

    4 days ago

    Default job background
    Full time
    Description

    Adjudication Experienced

    Any graduate.

    Having 1-5 years experience in HCFA/UB claim processing.

    Having good exposure to CMS processing guidelines.

    Good Analytical skills.

    Good communication skills.

    Working knowledge of MS office tools.

    Willing to work in any shift.

    Responsible for the coordination and resolution of the administrative denials and appeals.

    Ability to understand logic of standard medical coding (i.e., CPT, ICD-10, HCPCS, etc.).

    Ability to resolve claims that require adjustments and adjustment projects, Identify claim(s) with inaccurate data or claims that require review by appropriate team members.

    Meet & Exceed Production, Productivity, and Quality goals

    Process Insurance Claims timely and qualitatively

    Review medical documents, policy documents, policy history, Claims history, and system notes and apply the trained client-level business rules to make appropriate Claims decisions, call out claims trends, and flag fraud activities

    Eligible Criteria:

    Any Degree/ Diploma

    SHIFTS:

    Day Shift Only

    JOB LOCATION: OMR, Kottivakkam, Chennai

    No of Requirements: 5

    Synthesis Healthsoft Services & Solutions LLP

    Mob: ,

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