Claims Adjudication Process
Role: Claims Adjudication Process
Experience: 2.5-4 Years
Job Location: Coimbatore, Tamil Naidu
Work Timing: US Shift(Night Shift)
Job Description:
Claims Experience is required:
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More than 3 years of experience in handling the Healthcare claims adjudication process.
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Experienced level adjudicator providing analytical ability to review claim rules and workflows.
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Reviews claim requests to determine eligibility for processing and escalate to management as necessary.
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Responsible for the coordination and resolution of the administrative denials and appeals
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Ability to understand logic of standard medical coding (i.e. CPT, ICD-10, HCPCS, etc.).
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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.
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Organizing and completing tasks per assigned priorities.
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Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team
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Resolving complex situations following pre-established guidelines
Shubham Vishwakarma
Full Stack Developer - Averlon
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Is your next career move to lead a team of iOS developers and spearhead the development of cutting-edge iOS applications to enhance user experience and advance DAZN's OTT platform?
DAZN is a tech-first sport streaming platform that reaches millions of users every week. We are challenging a traditional industry and giving power back to the fans. Our new Hyderabad tech hub will be the engine that drives us forward to the future. We’re pushing boundaries and doing things no-one has done before. Here, you have the opportunity to make your mark and the power to make change happen - to make a difference for our customers. When you join DAZN you will work on projects that impact millions of lives thanks to your critical contributions to our global products
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