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Primera Medical Technologies
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Associate Claims Examiner

Associate Claims Examiner

Primera Medical Technologies

1 - 5 years

1 - 5 Lacs

hyderabad

Posted:1 month ago| Platform:

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Skills Required

claims financial risk ptp

Work Mode

Work from Office

Job Type

Full Time

Job Description

The Associate would need to Validate the following and process claims to pay:1
Authorization2 Financial risk per DOFR3 If all codes are payable and if so how (applying multi procedure reductions and NCCI/PTP edits as necessary)4 Validating copay and coinsurances on payable codesOnce all the above are validated, the associate would then add EOB codes per instruction as well as update supplemental screen per instructionstyle=white-space: normal;>The Associate would need to Validate the following and process claims to pay: 1 Authorization 2 Financial risk per DOFR 3 If all codes are payable and if so how (applying multi procedure reductions and NCCI/PTP edits as necessary) 4 Validating copay and coinsurances on payable codes Once all the above are validated, the associate would then add EOB codes per instruction as well as update supplemental screen per instruction

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Primera Medical Technologies

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Boston

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Associate Claims Examiner