19 Aug
|
ACCUMED
|
Chennai
Key Responsibilities
- Validate healthcare claims through DOH / DHA portals
- Prepare pre-submission and post-submission reports
- Submit eClaims within defined timelines
- Identify and resolve claim errors before submission
- Coordinate with Coding, Billing, IT, DE and Onsite teams
- Verify claim numbers, amounts and submission status
- Handle hard-copy and email-based claim submissions when required
- Raise and coordinate CQM queries with internal teams and clients
- Perform bulk eligibility verification
- Create insurance/TPA packages based on payer and network requirements
- Add or update clinician licenses in DOH/DHA portals
- Maintain submission reference files and reconciliation reports
- Track and report monthly claim volumes and submission values
- Ensure timely and accurate claim submission as per client and payer SLAs
Job Requirements
- 3+ years of experience in a similar healthcare RCM/claims submission role
- Diploma or Bachelors Degree
- Good understanding of Healthcare Revenue Cycle Management
- Experience with DOH / DHA portals is preferred
- Good knowledge and hands on experience in MS Excel
- Strong attention to detail and accuracy
- Valuable communication and coordination skills
- Ability to work independently with limited supervision
- Comfortable working in a fast-paced environment
- Willingness to work in shifts
📌 Claims Receiving and Submission Officer (Chennai)
🏢 ACCUMED
📍 Chennai