We are seeking candidates with a minimum of 1 year of experience in Indian health Insurance/TPA who have strong communication and along with good medical knowledge in Claims Adjudication.
Qualifications:
Degree in BAMS, BHMS, BSMS, or MBBS (strictly required).
Candidates who can join immediately or within 15 days are preferred.
Roles & Responsibilities:
Ensuring accuracy and compliance in medical claims adjudication.
Knowledge & Skill Requirements
:
Technical Competencies:
Claims processing - Preauthorization, Medical Adjudication, and Billing experience.
Understanding of GIPSA/MA packages, SOC, and Tariff deviations.
Identifying bill inflations in insurance billing.
Knowledge of surgeries, advanced treatments, and procedure costs.
Behavioral Competencies
:
Strong communication skills (verbal & written).
Teamwork and collaboration.
Time management and multitasking.
Job Type: Full-time
Pay: ₹20,000.00 - ₹30,000.00 per month
Work Location: In person
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