Medical Coordinator - Claim Processing MKPIT

1.0 - 5.0 years

0 Lacs

pune, maharashtra

On-site

The Medical Coordinator - Claim Processing role involves verifying and processing insurance claims, ensuring accuracy in medical information capture, and facilitating communication among insurance companies, healthcare professionals, and patients. Responsibilities include reviewing and processing medical insurance claims, ensuring compliance with insurance policies and healthcare regulations, working with healthcare providers to gather necessary medical records, and verifying patient and provider information accuracy before claim submission. Additionally, the role involves data entry into claim processing systems, maintaining accurate records of claims, updating patient accounts, and communicating with providers and patients for missing information. The Medical Coordinator will also review denied claims, initiate appeals if needed, follow up on pending claims, collaborate with coding and billing teams for claim accuracy, ensure compliance with healthcare regulations and insurance guidelines, stay updated on policy changes, assist in audits, generate reports on claim status and trends, and recommend process improvements. Ideal candidates will have a bachelor's degree in healthcare administration or related fields, previous experience in medical billing or claim processing, knowledge of medical terminology, attention to detail, strong communication skills, and proficiency in claim processing software for experienced candidates. This position is crucial for the efficient processing of medical claims, timely reimbursement for healthcare providers, and accurate fulfillment of patients" financial and insurance requirements. Initially, the candidate will be hired as an intern with potential for full-time employment post the probation period. Job Type: Full-time Schedule: - Day shift - Night shift Location: Pune, Maharashtra (Preferred) Work Location: In person,

Posted 1 week ago

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