Claim Specialist

As a Claims Specialist in this full-time position located in Pune with a notice period of immediate joining, you will be responsible for accurately entering Patient Demographic information based on medical records. Your duties will include ensuring that Charge Entry is carried out in accordance with the procedures outlined in the records. You will also be expected to apply your knowledge of medical billing concepts, Federal and commercial insurance plans, including HMO, PPO, and POS guidelines. Furthermore, your role will involve handling WC/Auto claims in compliance with specific insurance guidelines. As part of your responsibilities, you will be required to verify all EFT deposits and scanned checks. Your attention to detail and adherence to protocol will be crucial in ensuring the accuracy and efficiency of the claims processing procedures.,