Adjudication Experienced

·        Having 1-5 years experience in HCFA/UB claim processing.

·        Having good exposure to CMS processing guidelines.

·        Good Analytical skills.

·        Good communication skills.

·        Working knowledge of MS office tools.

·        Willing to work in any shift.

• Responsible for the coordination and resolution of the administrative denials and appeals.

• Ability to understand logic of standard medical coding (i.e., CPT, ICD-10, HCPCS, etc.).

• Ability to resolve claims that require adjustments and adjustment projects, Identify claim(s) with inaccurate data or claims that require review by appropriate team members.

• Meet & Exceed Production, Productivity, and Quality goals

• Process Insurance Claims timely and qualitatively

• Review medical documents, policy documents, policy history, Claims history, and system notes and apply the trained client-level business rules to make appropriate Claims decisions, call out claims trends, and flag fraud activities

Eligible Criteria:

• Any Degree/ Diploma

SHIFTS:

• Day Shift Only

JOB LOCATION: OMR, Kottivakkam, Chennai

No of Requirements: 5

Synthesis Healthsoft Services & Solutions LLP

Mob: +91 97897810526, +91 9176332863