Claim Adjudication Process_Chennai_Who can join immediately

Role: Claim Adjudication Process
Experience:- 1 to 2 Years
Notice: Immediate Joiners
Work Location:- Chennai / Coimbatore (Work From Office)
Shift Timing:- US Central time (7:00 PM to 4:00 AM IST)
Transport Only DROP

In this role you will be responsible For:

• Meet & Exceed Production, Productivity, and Quality goals
• Process Insurance Claims timely and qualitatively
• Review medical documents, policy documents, policy history, Claims history, and 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

Requirements for this role include:

18 months of experience processing insurance claims in the health, life, or disability disciplines that required knowledge of CPT, HCPCS, ICD9/10, CDT, and understanding and interpreting complex documents such as medical records and legal contracts