Posted:3 hours ago|
Platform:
Work from Office
Full Time
Medical Degree or Related Field: BAMS/BHMS only
Understanding of Medical Terminology: Proficiency in medical terminology, procedures, and diagnoses.
Certification: Certification in medical coding (such as CPC, CCS, or equivalent) can be advantageous.
Healthcare Experience: Experience working in a non- clinical setting can be beneficial, providing a solid understanding of medical procedures and billing practices.
Claims Processing Experience: Prior experience in medical billing, coding, or claims processing is required.
Familiarity with Insurance Policies: Understanding of various health insurance policies and coverage criteria.
Analytical Skills: Ability to review and analyze medical records and claims.
Attention to Detail: Ensuring accuracy in claim adjudication to prevent errors and fraud.
Communication Skills: Strong verbal and written communication skills for interacting with stakeholders and insureds etc.
Technical Proficiency: Familiarity with claims processing software and electronic health records (EHR) systems.
Regulatory Knowledge: Understanding of healthcare regulations and compliance standards (such as HIPAA in the U.S.).
Problem-Solving Skills: Ability to resolve discrepancies and handle complex claim issues.
Certified Professional Coder (CPC):
Certified Coding Specialist (CCS):
Certified Medical Reimbursement Specialist (CMRS):
ICICI Lombard
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