- Strong analytical and critical-thinking skills
- Excellent medical record review and interpretation skills
- Effective written and verbal communication
- Ability to work independently and manage multiple priorities
- Knowledge of denial management and appeals processes
- Robust problem-solving and research capabilities
Performance Metrics
- Quality Accuracy ≥ 98%
- Achievement of Productivity Targets
- SLA/TAT Adherence
- Compliance with Process and Documentation Standards
- Minimal Audit Defects and Rework