Senior Claims Associate

1 - 4 years

2 - 4 Lacs

Posted:4 days ago| Platform: Naukri logo

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Job Type

Full Time

Job Description

Roles and Responsibilities :

  • Review and process claims from receipt to payment, ensuring accuracy and timeliness.
  • Conduct thorough provider data management, including verification of provider information and eligibility checks.
  • Collaborate with internal stakeholders to resolve claim discrepancies and ensure compliance with regulatory requirements.
  • Maintain accurate records of all interactions with providers, patients, and insurance companies.

Job Requirements :

  • 1-4 years of experience in US Healthcare Claims Adjudication or related field.
  • Strong understanding of PDM (Provider Data Management) systems and processes.
  • Proficiency in reviewing medical records, diagnosis codes, and treatment plans for accuracy.

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