Claim Adjudication - Chennai - Alois Technologies Private Limited

    Alois Technologies Private Limited
    Alois Technologies Private Limited Chennai

    11 hours ago

    Full time ₹400,000 - ₹1,200,000 (INR) per year *
    Description

    Roles and Responsibilities:

    • Process Adjudication claims and resolve for payment and Denials
    • Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
    • Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
    • Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
    • Organizing and completing tasks according to assigned priorities.
    • Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
    • Resolving complex situations following pre-established guidelines

    Requirements:

    • experience in processing claims adjudication and adjustment process
    • Experience of Facets is an added advantage.
    • Experience in professional (HCFA), institutional (UB) claims (optional)
    • Both under graduates and post graduates can apply
    • Good communication (Demonstrate strong reading comprehension and writing skills)
    • Able to work independently, strong analytic skills
    * This salary range is an estimation made by beBee
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