Job Description

Job Description:
- Good knowledge of medical coding and billing systems, medical terminologies, regulatory requirements, auditing concepts, and principles
- Investigate, evaluate, and manage call to complete coverage analysis confirming or denying coverage using Xactimate estimating software
- Obtain vehicle information from the DMV
- Follow HIPAA policy on each and every call
- Abided by the laws and regulations associate under HIPAA and patient confidentiality
- Receive recognition for creating a workflow and database for all incoming subpoenas
- Assist in training new CSA's on job responsibilities, which increase office productivity
- Ensure compliance with company regulations and Medicaid requirements
- Coordinate Medicare, Medicaid, and secondary insurance coverage
- Gather and compile evidence to support contest claims in litigation




- Review automobile titles, completing transfers and owner retention DMV documents with customers
- Conduct detail bill reviews to implement sound litigation management and expense control
- Identify claims for potential fraud and abuse and process expedited appeals and organizational determinations
- Devise creative and cost-effective incentive and morale-boosting programs that increase CSA satisfaction and productivity
- Execute effective and efficient claim dispute resolutions in regard to provider and facility appeals
- Assist veterans and their dependents in determining eligibility for VA advantages via phone contact and personal interview

📌 Medical Coding Freshers (Chennai)
🏢 Cigma Medical Coding Academy
📍 Chennai