Health Claims Specialist iAssist Innovations Labs

2.0 - 6.0 years

0 Lacs

chennai, tamil nadu

On-site

You are a detail-oriented and experienced Health Claims Specialist who will be responsible for accurately processing and adjudicating medical claims. Your duties will also involve providing customer service to internal and external stakeholders. Your responsibilities will include reviewing and analyzing medical claims submitted by healthcare providers to ensure accuracy, completeness, and compliance. You will need to verify patient eligibility, insurance coverage, and benefits, as well as assign appropriate medical codes (e.g., ICD-10, CPT) to diagnoses, procedures, and services. Adjudicating claims based on established criteria, including medical necessity and coverage limitations, will be ...

Posted 3 months ago

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Health Claim Specialist - Internship Role PAN India iAssist Innovations Labs

0.0 - 4.0 years

0 Lacs

hisar, haryana

On-site

You are a fresher who will be gaining experience in Health Claims by undergoing a few days of training. Your main responsibility will be to accurately process and adjudicate medical claims in compliance with company policies, industry regulations, and contractual agreements. In this role, you will review and analyze medical claims submitted by healthcare providers to ensure accuracy, completeness, and adherence to insurance policies and regulatory requirements. You will also verify patient eligibility, insurance coverage, and benefits to determine claim validity and appropriate reimbursement. Assigning appropriate medical codes such as ICD-10 and CPT to diagnoses, procedures, and services ac...

Posted 3 months ago

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