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3Gen Consulting
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Claims Executive

Claims Executive

3Gen Consulting

2 - 4 years

0 - 3 Lacs

pune

Posted:4 days ago| Platform:

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Skills Required

claims health claims insurance claims claims management claims processing

Work Mode

Work from Office

Job Type

Full Time

Job Description

Designation:

Department:

Reporting To:

Location:

Job Type:

Shift:

Role Overview:

Job Responsibilities:

Prepare and submit insurance claims, ensuring completeness and accuracy.
Verify patient and insurance information for each claim.
Accurately post payments from various sources, including insurance companies, Medicare, Medicaid, and patients, ensuring the correct application of funds in the billing system.
Perform thorough reconciliation of payment discrepancies and variances. Identify and resolve issues swiftly to minimize revenue loss and maintain accurate financial records.
Address billing inquiries and resolve discrepancies.
Ensure that the quality and production are met as per expectations

Job Requirements:

Minimum 2 years medical billing and payment posting experience
Strong knowledge of revenue cycle management processes
Should have strong revenue cycle and insurance plan knowledge
Prior experience of working in a medical billing company and use of medical billing software will be considered an advantage. Client's medical billing software training will be provided.
Maintains confidentiality; understands HIPAA regulations.
Attention to detailing, logical thinking and problem-solving skills
Excellent knowledge of MS office
Excellent English communication skills
Ability to multi-task

Education & Certification Requirements

Undergraduate, Graduate and/or Postgraduate degree
Certified Professional Biller (CPB) certification would be an added advantage

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