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Claim Adjudicator - Chennai, India - TekWisen Software Pvt. Ltd

TekWisen Software Pvt. Ltd

Verified Company

Chennai, India

1 month ago

Posted by:

Deepika Kaur

beBee Recuiter

Experience: 1-3 Years

Notice Period:
Immediate - 15 Days Joiners

Location:
Chennai,Coimbatore

Skills:

13 years of 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 skill

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, copay, 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 preestablished guidelines

Salary:
₹177, ₹274,629.26 per year

Benefits: