Vacancy published
date: 1st February
2023
Last date for accepting application: 4th February 2023
Job Requirements:
- BSc Nursing or MSc Nursing
- CPC
Certified/ Non CPC Certified (Course completion is mandatory)
- Good
knowledge of medical coding and billing systems, medical terminologies,
regulatory requirements, auditing concepts, and principles
Job Descriptions:
·
Examine claims records
and forms to determine whether the patient has medical insurance.
·
Review provisions of
certificate or policy to determine the patient’s included medical coverage
losses.
·
Negotiate claim
settlements and make recommendations for legal action when settlements are
deemed non-negotiable.
·
Complete logs,
reports, forms and records to properly document medical claims.
·
Reject or accept
documentation, determine benefit due, and start the denial or payment process
to resolve medical claims.
·
Adhere to all company
policies, procedures and guidelines in addition to insurance regulations at the
federal and state level.
·
Examine medical
treatment records, police reports, physical property damage and medical bills
to gauge overall extent of liability.
·
Interview and
communicate with claimants, police, witnesses, physicians and other necessary
individuals to decide claim denial, settlement or review.
·
Ensure all claims
information remains confidential.
·
Engage in continuing
education and training opportunities when possible.
Salary: 3 LPA
Job Type: Full Time
Day Shifts
Work from Office
Number of Vacancies: 6
Process: Clinical Claims Review
Ability to commute/relocate: Chennai/Coimbatore/ Kochi. Reliably commute or planning to relocate before starting work.
Interview Mode: Virtual
Selection process:
1. Technical
Round
2. HR
Discussion
Read and understand the criteria; if you meet the prerequisites and are yes to the terms and conditions. Please register for the post published.