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

- Positive 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