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Senior Claims Examiner

Junior: 1 to 3 years
15.5K - 20K (Per Month)
Posted on Feb 16 2023

About the Job


Insurance Claims
UB claim

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




• Day Shift Only


JOB LOCATION: OMR, Kottivakkam, Chennai

No of Requirements: 5

Synthesis Healthsoft Services & Solutions LLP

Mob: +91 97897810526, +91 9176332863

About the company

Synthesis HealthSoft Services & Solutions LLP is a premier BPO company capable of providing end-to-end healthcare services to both payers and providers. To combat rising healthcare costs, shortage of skilled and certified resources, ever-changing regulations, rising technology costs, and increasing market competition, corporations are looking to outsource functions to a location where these challe ...Show More


Healthcare & BPO

Company Size

201-500 Employees



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