Claim Processing Executive

2 - 6 years

0 Lacs

Posted:4 days ago| Platform: Shine logo

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Work Mode

On-site

Job Type

Full Time

Job Description

Role Overview: As a Claims Processing Executive (CPE), your primary responsibility will be to perform all activities related to the preparation, insurance verification, and retrieval of medical records for US Workers Compensation claims. You will serve as the key liaison between Client contacts and insurance companies, primarily through phone communication. Key Responsibilities: - Research, request, and acquire all pertinent medical records, implant manufacturers' invoices, and any other necessary supporting documentation for submission with hospital claims to insurance companies, ensuring prompt and correct claims reimbursement. - Verify that all required supporting documentation has been received and facilitate prompt reimbursement. - Prepare accurate Workers Comp initial bill packets or appeal letters utilizing Enable Comp systems tools and submit them with all necessary supporting documentation to insurance companies. - Perform any other duties as required. Qualification Required: - Diploma or Bachelor's Degree in any discipline. Please note that this is a permanent job opportunity with benefits including health insurance and Provident Fund. The work schedule will involve night shifts and US shifts, and the work location is in person. If you wish to speak with the employer or have any further inquiries, you can contact them at +91 9385499025. Role Overview: As a Claims Processing Executive (CPE), your primary responsibility will be to perform all activities related to the preparation, insurance verification, and retrieval of medical records for US Workers Compensation claims. You will serve as the key liaison between Client contacts and insurance companies, primarily through phone communication. Key Responsibilities: - Research, request, and acquire all pertinent medical records, implant manufacturers' invoices, and any other necessary supporting documentation for submission with hospital claims to insurance companies, ensuring prompt and correct claims reimbursement. - Verify that all required supporting documentation has been received and facilitate prompt reimbursement. - Prepare accurate Workers Comp initial bill packets or appeal letters utilizing Enable Comp systems tools and submit them with all necessary supporting documentation to insurance companies. - Perform any other duties as required. Qualification Required: - Diploma or Bachelor's Degree in any discipline. Please note that this is a permanent job opportunity with benefits including health insurance and Provident Fund. The work schedule will involve night shifts and US shifts, and the work location is in person. If you wish to speak with the employer or have any further inquiries, you can contact them at +91 9385499025.

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