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Regulated Claims Settlement Coordinator II V3 Staffing

3.0 - 6.0 years

7 - 8 Lacs

Hyderabad

Work from Office

Skill Requirements: Clinical Documentation Medical Record review & Billing Denials, appeals & grievance HIPAA regulations in documentation Claims Settlement process Claim Price negotiation Out of network Participating providers Non-participating providers Explanation of Benefits PPO networks . Detailed JD: Investigate and settle provider and client billing inquiries, including renegotiating claims to secure savings and meet or exceed department KPI goals. Maintain comprehensive tracking and documentation of all necessary information related to the research and settlement of assigned work. Collaborate with internal teams, including Client Services, Network and Vendor Management, Out of Networ...

Posted 5 months ago

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