Job Description:

Responsible for adjudication the US healthcare Claims
Reviewing claims processing policies and guidelines
Reviewing Physician/Hospital contract for correct payment method
Reviewing the proper precertification for the claims
Analyzing historical claims for member and provider for correct adjudication
Adhere to all client and company policies without exceptions
Skills/Experience
Expertise in US Healthcare Claims Processing (Mandatory)
Good communication skill
Good basic mathematics, reasoning, and interpretation skills
Working knowledge of MS Office,

Profile Summary:

Employment Type : Full Time
Industry : Recruitment Services
Salary : Not Disclosed
Deadline : 19th May 2020

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