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

TekWisen Software Pvt. Ltd
TekWisen Software Pvt. Ltd
Verified Company
Chennai, India

1 month ago

Deepika Kaur

Posted by:

Deepika Kaur

beBee Recuiter


Description
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:


  • Health insurance
  • Provident Fund

Schedule:

  • Flexible shift
  • Night shift
  • Rotational shift

Experience:

- total: 2 years (required)

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