Should possess U S Health insurance claim processing experience Knowledge of medical billing and coding terminologies Ready to work in Night Shift as well as Day shift Understanding of plan documents and general benefits Familiarity with terms such as deductible out of pocket coinsurance and copay Strong attention to detail and accuracy Ability to work in Microsoft word Excel Process claims and ensure accuracy during testing of plan build Understand and analyze plan documents to determine benefits and coverage Ability to analyze review and adjudicate provider claims Resolves medical claims by approving or denying documentation calculates benefit amounts due initiates payment and or composes denial letter Ensures the legal compliance of client policies procedures and guidelines as well as legal compliance with state and federal regulations during the claim process Review claims to determine if costs were reasonable and or medically necessary Able to identify over-payments underpayments and other irregularities in Processed claims Verifying member eligibility benefit coverage and researching or applying authorizations Be able to integrate knowledge as a skilled specialist to solve problems and find recent efficient workflows Protects operations by keeping claims information confidential must be HIPPAA compliant Recognize areas of weakness provide suggestions and update documentation for process improvement Perform general and administrative duties as assigned Job Type Full-time Pay 20 000 00 - 40 000 00 per month Experience US Health Insurance 1 year Required Location Navi Mumbai Maharashtra Required Shift availability Night Shift Required Day Shift Required Work Location In person

📌 Medical Billing/ Claims Processing (Maharashtra)
🏢 INTEGRUM OUTSOURCE SOLUTIONS
📍 Maharashtra