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Claim Specialist

1.00 to 5.00 Years   Pune   07 Apr, 2025
Job LocationPune
EducationNot Mentioned
SalaryRs 2.0 - 4.0 Lakh/Yr
IndustryBPO / Call Center
Functional AreaCustomer Service (International)
EmploymentTypeFull-time

Job Description

    Hiring for Claim Specialist for US Healthcare ProcessLocation- Pune BhavdanExp- 1 YearShift Timing -9am-6pm (5 Days Working )Profile Overview:
    • Graduate with 1-3 years Experience of Billing.
    • Have a good understanding of US Healthcare medical billing rules, abbreviations, and state specific insurance guidelines.
    • Familiarity with using Payer Portals for viewing and downloading Explanation of Benefits (EOBs).
    Key Responsibilities:
    • Accurate entry of Patient Demographic information as provided in medical records.
    • Charge Entry should be done according to the procedures mentioned on record.
    • Apply medical billing concepts, Federal and commercial insurance plans including HMO, PPO, and POS guidelines.
    • Maintain high accuracy in charge entry, minimizing errors and discrepancies. Double-check all charge entries for completeness and correctness.
    • Conduct thorough charge reviews to identify any potential coding errors, missing charges, or other issues impacting revenue generation.
    • Familiarity with HIPAA regulations and compliance requirements.

Keyskills :
medical billingclaims processingclaim settlementcharge entryus healthcare

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