Job Description

Reviewing & verifying the data from the CMS1500 & UB04 claim forms in accordance with U.S. Healthcare policies and prevailing business rules.

- Apply all claims policies, practices and keep in compliance with industry regulations and guidelines.
- Comply with claims timeliness guidelines.
- Proficient with all federal and state requirements in claim verification. Ability to resolve claims issues on identified verification errors.
- Other duties as assigned.
- Follow departmental workflow and established procedures for Claims verification.
- Meet Quality and Production standards.
- To ensure that all departmental policies and procedures are followed

Skills & Experience Requirements

- Minimum 1+ year of experience in data entry.
- Highly organized and able to perform multiple tasks efficiently.
- Be computer literate and must be very knowledgeable of all claim verification rules and guidelines.
- Ability to work in a fast-paced environment.
- Proficiency in Microsoft Office.
- Solid time management skills.
- Has the ability to work in a team environment.
- Minimum of 45 wpm typing speed.

📌 Claim Examiner-I (Data Entry) (New Delhi)
🏢 Calibrated Healthcare Network
📍 New Delhi