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EXL

2 - 3 years

0 Lacs

Noida Uttar Pradesh India

Posted:4 days ago| Platform:

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Skills Required

healthcare processing communication mathematics reasoning interpretation

Work Mode

On-site

Job Type

Full Time

Job Description

Responsible for adjudication the US healthcare Claims.
Reviewing claims processing policies and guidelines.
Reviewing Physician/Hospital contract for correct payment method.
Reviewing the proper precertification for the claims.
Analysing historical claims for member and provider for correct adjudication.
Adhere to all client and company policies without exceptions.

Skills/Experience

Expertise in US Healthcare Claims Processing (Preferable).
Good communication skill.
Good basic mathematics, reasoning, and interpretation skills.
Working knowledge of MS Office.

Candidate Profile

Education/Qualification: Any Graduate (Except B.Tech, BCA or any technical qualification)Work Experience: 2-3 years of experience in US health insurance claims processing and at least 1 years of experience in claims processing with Large Healthcare Payers.Functional Skills: US Healthcare Claims Processing.Remarks (if any): Shouldn’t be pursuing any further education (MBA etc.) at the time of joining.Search Keywords: US health insurance, US healthcare, Claims processing.

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