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Job Description
In this role, you will be responsible for entering data related to personal details, provider information, invoices, and medical codes. You’ll ensure accuracy by validating the entered data, checking for duplicates, and taking the necessary actions. You will also work with various departments to address issues and identify savings by investigating claims. Date: 13th Aug 2024 Time: 12 PM to 2 PM Claims Processing Venue: Plot No 1, Jawahar Lal Nehru Marg, near Venkateshwara Temple, Sector 9, Malviya Nagar, Jaipur, Rajasthan 302017Job Location
Work Location: Jaipur Shifts: US shifts Work model: Work from office In this role, you will be responsible for Data Entry of Information related to personal details, provider details, invoice information, procedure & impairment codes.Responsibilities:
- Validation of information entered by indexer
- Check & Select accurate Pre-authorization
- Identify duplicate Claims and take appropriate action
- Reading & taking appropriate action on Alerts related to Members & providers.
- Referring case to calling team for further information
- Looking after Policy & Non-Policy messages
- Interpreting, analyzing & further investigating the Policy messages on various tools like support point, info site etc.
- Referring cases to various department like HCS, TMT, Triage after adjudication as and when required
- Identify Front End Savings by investigating claims to Identify any over charge, ineligible chargers, contract compliance, Provider or Member Fraud
Minimum qualifications
- Any Graduate except technical
- Freshers are eligible
Preferred qualifications
- Good knowledge of healthcare & medical terminologies
- Eye for detail & investigative skills
- Good interpretation & comprehension skills
- Proven experience
- 3 copies of updates resume
- 3 Passport size photographs
- Original Aadhar card
- 2 copies of Aadhar card
- Payslip (if applicable
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