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Claims Specialist

1.00 to 5.00 Years   Pune   24 Mar, 2025
Job LocationPune
EducationNot Mentioned
SalaryRs 50,000 - 3.0 Lakh/Yr
IndustryIT Services & Consulting
Functional AreaOthers
EmploymentTypeFull-time

Job Description

    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.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).

Keyskills :
medical billingclaims adjudicationinsurance claimsus healthcare

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