Insurance Specialist

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

Insurance Specialist

Multi Recruit

Company

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Insurance Specialist

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

Agency job

via Multi Recruit

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

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

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