Job Description

Experience: 2-4 Years Location: Hyderabad Shift: US Night Shift. MUST have Mandatory skills in Adjudication: . Authorization . Timely Filing . Duplicate . Copayment . COB . Medicare . Medicaid Requirement: . 1-4 years of experience in processing claims adjudication and adjustment process . Experience in professional (HCFA), institutional (UB) claims (optional) . Both under graduates and post graduates can apply . Good communication (Demonstrate strong reading comprehension and writing skills) . Able to work independently, strong analytical skills Responsibilities: . Process Adjudication claims and resolve for payment and Denials . Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process . Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations . Ensuring accurate and timely completion of transactions to meet or exceed client SLAs . Organizing and completing tasks according to assigned priorities. . Developing and maintaining a solid working knowledge of the healthcare insurance industry and of all products, services and processes performed by the team . Resolving complex situations following pre-established guidelines About the Company: The Company is a top 10 global IT services provider, headquartered in Tokyo and operating in more than 50 countries. For us, work is not only for technological innovation, it is about connecting people to create better solutions for everyday life. It offers an advanced portfolio of consulting, application, business process, cloud, and infrastructure services to businesses and governments worldwide. About CIEL HR: ( Payroll Company ) CIEL HR marks the return of HR visionaries to the HR Services industry, powered by technology and analytics. The Founders of Ma Foi, the pioneer of the HR services sector in India, along with some of the finest brains in the HR Services Industry have envisioned and built the firm, CIEL HR, to deliver the full range of Recruiting services from Executive Search, Recruitment Process Outsourcing and Staffing Permanent as well as Temporary roles through its offices in India and Middle East. Advanced data sciences and analytics have been applied by the in-house technology team to build a unique IT system for CIEL HR that helps us find the most suitable candidates in the shortest possible time. Website:

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