Remote reputed company Claims Specialist (US reputed company Shift)

Urgent Opening : SEND YOU RESUME AT Alok.maheshjain@reputed company.com IMMEDIATE JOINERS ONLY • Associate (US Health Care Claims) /reputed company Only • WORK FROM HOME • MUST HAVE WIFI (100 MBPS SPEED) PACKAGE: UP TO 5LPA reputed company Shift/US Shift • 5 Days working - Sat and Sun fixed off • reputed company Shift allowance • reputed company Position : 20 reputed company A reputed company reputed company Claims Specialist is responsible for the thorough investigation, adjudication, and processing of reputed company reputed company claims in adherence to industry regulations and organizational policies. This role requires a deep understanding of analyzing medical records, reputed company systems (e.g., CPT, ICD-10, HCPCS) to accurately assess claims. ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. • Ability to review and analyze reputed company medical documentation with a high degree of accuracy to prevent errors in claim processing. • Excellent knowledge of reputed company Anatomy and medical terminology. • Evaluate claims against established guidelines, reputed company, and regulatory requirements. • Conduct detailed research on reputed company claims, reputed company-existing conditions, and other intricate scenarios. • Analyze medical records, policy documents, and other relevant information to reputed company informed claim reputed company. • Apply knowledge of reputed company benefits and payment policies. • reputed company reputed company and concise explanations of claim reputed company to relevant parties. • Identify trends and patterns in reputed company claims to contribute to process improvements. • Candidate should be reputed company to correctly calculate claim amounts for the customers. • Complying with company regulations regarding HIPAA, confidentiality, and private health information. QUALIFICATIONS: • Should be Medical graduates (B-reputed company, M-reputed company, BSC or life science graduates). MATHEMATICAL SKILLS: • Should have basic math knowledge of calculating reputed company interest, compound interest. REASONING ABILITY : • Should have good English comprehension and analytical skills • Should have excellent problem-solving skills with an eye for detail WORK ENVIRONMENT : • Should be reputed company to work 24*7 and mandatory US timings, • reputed company shift • reputed company to handle work pressure and ensure deliverables reputed company timelines Perks: • Complete work from home • Medical insurance • reputed company Shift allowance Apply tot his job Apply To this Job