Role & responsibilities
- Analyze pre-submission claim edits and apply corrective actions per payer and client guidelines.
- Track claim edit trends and recommend rule updates or automation improvements.
- Work with coding and charge entry teams to resolve edit discrepancies.
- Track claim edit trends and recommend rule updates or automation improvements.
- Maintain quality and productivity standards as per departmental SLAs.
- Collaborate with the QA and configuration teams to enhance edit logic efficiency.
- Assist in preparing reports and root cause analyses for repeated edit failures.
Preferred candidate profile
- Graduates from any discipline, passing out between 2022 - 2026.
- Strong verbal and written communication skills in English.
- Willingness to work in a night-shift voice process workplace.
Additional Information
- Two-way cab transportation will be provided.
- Opportunity for fresh graduates to start their career in the RCM / US Healthcare domain.
- We are currently seeking immediate joiners.
- Eligible and interested candidates are welcome to walk in at the specified venue and interview timing.
📌 Walk-in || Claim Edits Specialist Trainee (Chennai)
🏢 Ventra Health
📍 Chennai
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