Vacancy published date: 25^th August 2023

Last date for accepting application: 1^st 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.