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Insurance Specialist
Our client company is into IT & Services. ( TF1)
Insurance Specialist
Our client company is into IT & Services. ( TF1)'s logo

Insurance Specialist

at Our client company is into IT & Services. ( TF1)

Agency job
1 - 3 yrs
₹2.5L - ₹3L / yr
Baroda, Vadodara
Skills
Insurance Specialist
Insurance Processing
Claim Executive
Insurance
MS-Excel
  • Manage Denial procedures
  • Process guidelines management

Key Performance Areas:

  • Applying patient and insurance payments and corresponding contractual adjustment/write[1]offs/Offset for all bill types to accounts.
  • Electronic scanning of Explanation of Benefits
  • Preparing and processing credits and patient and insurance refunds and posting.
  • Resolving misdirected payments and returning incorrect payments to sender.
  • Copies any zero payments (denial) to the appropriate Patient Account representative for follow-up and post.
  • Appealing both denied or underpayments.
  • Correct and most debit/credit adjustments of misapplied payments to ensure accurate and timely reporting of accounts.
  • Claim scrubbing and Claim submission
  • Posting of Electronic Remittance Advice (ERA)
  • Knowledge of Durable Medical Equipment is recommended

Skills required:

  • Analytical skills
  • Typing speed- at least 40 wpm
  • MS office skills- MS excel proficiency is preferred
  • Eye for details- error-free work
  • Fair skills of English language knowledge and understanding
  • Domain knowledge on medical billing is preferred but not mandatory

Educational Qualification & Work Experience

  • Graduation in any stream
  • Additional certification in typing, a medical prescription will be preferred

Individual abilities:

  • Willing to work in night shift
  • Self- driven/ self-starter
  • Problem-solving ability- proactive approach to finding solutions
  • Good interpersonal ability
  • Career-oriented
Read more
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Shubham Vishwakarma's profile image

Shubham Vishwakarma

Full Stack Developer - Averlon
I had an amazing experience. It was a delight getting interviewed via Cutshort. The entire end to end process was amazing. I would like to mention Reshika, she was just amazing wrt guiding me through the process. Thank you team.
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Shubham Vishwakarma's profile image

Shubham Vishwakarma

Full Stack Developer - Averlon
I had an amazing experience. It was a delight getting interviewed via Cutshort. The entire end to end process was amazing. I would like to mention Reshika, she was just amazing wrt guiding me through the process. Thank you team.
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