Vacancy
published date: 25th
August 2023
Last date for accepting application: 1st September
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.