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Adjudication Associate Location: IN-Chennai Email this job to a friend
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ADJUDICATION EXPERIENCED
- Having 1-5 years experience in HCFA/UB claim processing.
- Having good exposure to CMS processing guidelines.
- Good Analytical skills.
- Good communication skills.
- Working knowledge of MS office tools.
- Willing to work in any shift.
- Responsible for the coordination and resolution of the administrative denials and appeals.
- Ability to understand logic of standard medical coding (i.e., CPT, ICD-10, HCPCS, etc.).
- Ability to resolve claims that require adjustments and adjustment projects, Identify claim(s) with inaccurate data or claims that require review by appropriate team members.
- Meet & Exceed Production, Productivity, and Quality goals
- Process Insurance Claims timely and qualitatively
- Review medical documents, policy documents, policy history, Claims history, and system notes and apply the trained client-level business rules to make appropriate Claims decisions, call out claims trends, and flag fraud activities
Eligible Criteria: Any Degree/ Diploma SHIFTS: Day Shift Only JOB LOCATION: OMR, Kottivakkam, Chennai No of Requirements: 10 Synthesis Healthsoft Services & Solutions LLP mOB: +91 97897810526, +91 9176332863
Synthesis Healthcare Services LLP
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