Greetings from Synthesis Healthcare Services!!!
Immediate Opening for Adjudication - Claim Examiner Fresher in US healthcare Adjudication and Medical billing domain.
Desired Candidate Profile
- 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
Direct walk-in Address:
141 2nd Floor, Rajiv Gandhi Salai,
Chennai, Tamil Nadu 600041
Mail: firstname.lastname@example.org & email@example.com