Job Description

Experience: 1-3 Years

Skills Required: Claims Adjudication, Claims Processing, Health Insurance, Payment Processing.

Roles and Responsibilities:

Process Adjudication claims and resolve for payment and Denials o 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 o 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
Requirements:

1-3 years of experience in processing claims adjudication and adjustment process o Experience in professional (HCFA), institutional (UB) claims (optional) Both under graduates and post graduates can apply
Job Types: Full-time, Permanent

Pay: ₹13,000.00 - ₹25,000.00 per month

Benefits:

Paid time off
Ability to commute/relocate:

Delhi, Delhi: Reliably commute or planning to relocate before starting work (Required)
Application Question(s):

Do you have knowledge of insurance(health and general both)?
Experience:

total work: 1 year (Required)
Work Location: In person