Vacancy published date: 5th July 2023
Last date for accepting application: 11th July 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
Night
Shifts
Work from Office
Number of
Vacancies: 15
Process: Clinical Claims
Review
Ability to
commute/relocate: 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.