- 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
- 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
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Job description: · We are hiring Claims Adjudication · HR SPOC (Reference): Sam Jeshurin · Position: CSA/Sr.CSA · Division: Healthcare International Business · Job Location: · Firstsource Solution Limited, · B4, Sandhiya infocity, Near AGS vivira mall, Navalur, Chennai · Shift De ...
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Process Insurance Claims timely and qualitatively meet & exceed production productiviy and quality goals review medical documents policy documents policy history claims history system notes and apply the trained client level business rules to make appropriate claims decisions cal ...
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- Work in company
Hiring For Claims Adjudication Experienced US Healthcare
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Claim Adjudication - Chennai - Alois Technologies Private Limited

11 hours ago
Description
Roles and Responsibilities:
Requirements:
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Claims adjudication
Only for registered members Chennai
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Claims Adjudication
Only for registered members Chennai
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Claim Adjudicator
Only for registered members Chennai
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Hiring For Claims adjudication
Only for registered members Chennai
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Hiring For Claims adjudication
Only for registered members Chennai
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Claims Adjudication Experienced
Only for registered members Chennai
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Hiring For Claims Adjudication
Only for registered members Chennai
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Claims Adjudicator
Only for registered members Ambattur, Tamil Nadu
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Senior claims Adjudication
Only for registered members Chennai
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Senior Claims Adjudication
Only for registered members Chennai
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Hiring For claim Adjudication
Only for registered members Chennai
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Claims Adjudicator
Only for registered members Ambattur, Chennai, Tamil Nadu
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Senior Claims Adjudications Chennai
Only for registered members Chennai
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Walk-in drive For Claims Adjudication
Only for registered members Chennai
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Hiring For Claim Adjudication Process
Only for registered members Chennai
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Claim Adjudication Male candidates preferred
Only for registered members Chennai
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Hiring For Claims Adjudication Experienced US Healthcare
Only for registered members Chennai
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BPO Supervisor-Claim Adjudication-NTT DATA
Only for registered members Chennai
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Team Lead-Claim Adjudication-US Healthcare
Only for registered members Chennai
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Hiring: Senior Claims Adjudication Payer Side
Only for registered members Chennai