Job Description
Exasoft is seeking to hire a US Healthcare Claims Processor/Adjudicator for a renowned IT client.
Job locations- Chennai & Coimbatore
Work model- 5 days on-site
Shift timings- 6 PM-4 AM (1 side cab)
Budget- 6 LPA (Negotiable)
Notice- Immediate to 15 days
Minimum experience required- 4+ in US healthcare domain
Positions General Duties and Tasks:
• Process Health/Medical Insurance Claims timely and qualitatively
- Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities
- Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing
- Handle claims processing across multiple products/accounts as per the needs of the business.
- Familiarity with high-dollar claims
- Proficiency in Claims Adjudication, claim processing, Revenue Cycle Management
Preferences for this role include:
- 4+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT.
- 4+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts.
Job locations- Chennai & Coimbatore
Work model- 5 days on-site
Shift timings- 6 PM-4 AM (1 side cab)
Budget- 6 LPA (Negotiable)
Notice- Immediate to 15 days
Minimum experience required- 4+ in US healthcare domain
Positions General Duties and Tasks:
• Process Health/Medical Insurance Claims timely and qualitatively
- Review medical documents, policy documents, policy history, Claims history, system notes and apply the trained client level business rules to make appropriate Claims decisions, call out claims trends and flag fraud activities
- Stay up to date on new policies, processes, and procedures impacting the outcome of Claims processing
- Handle claims processing across multiple products/accounts as per the needs of the business.
- Familiarity with high-dollar claims
- Proficiency in Claims Adjudication, claim processing, Revenue Cycle Management
Preferences for this role include:
- 4+ years of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT.
- 4+ year(s) of experience in role that required understanding and interpreting complex documents such as medical records and legal contracts.
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