Key responsibilities

The core of the role is getting clean claims paid quickly and fixing the ones that are not.
Review patient encounters, invoices and supporting documents for completeness before submission.
Verify patient eligibility, insurance coverage and pre-authorisation requirements with insurers.
Prepare and submit claims to local and international insurers through portals, email or clearinghouses.
Check medical coding (ICD-10, CPT) against clinical documentation and flag mismatches.
Track submitted claims and follow up on pending, rejected or underpaid claims.
Investigate denials, correct errors and prepare resubmissions or appeals within insurer deadlines.
Post payments and remittances, and reconcile them against billed amounts.
Maintain accurate records in the billing system and keep claim notes up to date.
Report daily and weekly volumes, ageing and denial reasons to the team lead.




Protect patient data in line with CIHL confidentiality and data-protection requirements.

Customer service:
Answer inbound calls and emails from patients and insurers about claim payments, balances and in-process status.
Give explicit updates on where a claim stands: submitted, in process, pending information, denied, paid or partly paid.
Explain EOBs, remittances, denial reasons and any patient balance in plain language.
Make outbound calls to patients or insurers to collect missing information needed to move a claim forward.
Log every interaction in the billing or CRM system and follow through on promised callbacks.
Escalate complaints and complex cases to the team lead within agreed timelines.

📌 Medical Claims Processor International Medical Claims Nh Cayman Island Bengaluru
🏢 Narayana Health (NH)
📍 Bengaluru