Key Responsibilities:
Review and process healthcare insurance claims in accordance with client guidelines.
Verify patient, provider, and claim details for completeness and accuracy.
Identify and resolve discrepancies or missing information in claims.
Ensure timely processing of claims to meet daily productivity and quality standards.
Handle claim denials, rejections, and resubmissions as per standard procedures.
Maintain proper documentation and update internal systems with claim status.
Collaborate with team leads or supervisors to address process issues or escalations.
Adhere to HIPAA and company data security policies at all times.
Participate in process improvement and quality assurance initiatives.
Required Skills & Qualifications:
Bachelor's degree in any discipline.
0-3 years of experience in insurance claims processing (healthcare preferred).
Good understanding of US healthcare insurance concepts (CPT, ICD, HCPCS codes preferred).
Excellent written and verbal communication skills in English.
Strong analytical and problem-solving skills.
Basic computer knowledge with proficiency in MS Office (Excel, Word).
Ability to work night shifts and meet strict deadlines.
Preferred Qualifications:
Experience in claims adjudication, AR follow-up, or medical billing.
Knowledge of EOB (Explanation of Benefits) and healthcare claim life cycle.
Prior experience in BPO/KPO environments.
Job Type: Full-time
Pay: ₹14,000.00 - ₹16,000.00 per month
Work Location: In person
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