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