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Analyst I, Operations Support Zelis

3.0 - 7.0 years

0 Lacs

hyderabad, telangana

On-site

Role Overview: As a Certified Claim Editing Resolution Analyst II at Zelis India, you will be responsible for reviewing and researching medical records for complex, multi-specialty provider claims to ensure appropriately coded billed services according to the Zelis Claim Edits Product. Your role will involve processing, validating, routing, and responding to mid-level complex incoming Client and Provider corrected claims, disputes, and inquiries. You will play a crucial part in maintaining the editing product integrity and contributing towards identifying and retaining additional Client savings. Key Responsibilities: - Research medical records for complex and multi-specialty provider claims ...

Posted 4 days ago

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