Were Hiring US Healthcare

Process: Claims Adjudication

Experience: 1 to 2 Years

Location: Ambattur, Chennai

Shift: US Shift

Immediate Joiners Preferred

Company: Access Healthcare

Roles & Responsibilities

Review and adjudicate US healthcare insurance claims accurately and within defined turnaround time.

Process medical and healthcare claims based on member eligibility, perks, provider details, and payer guidelines.

Verify claim information, including diagnosis, procedure, service dates, provider details, and billing information.

Apply appropriate claim processing rules, policies, and contractual guidelines.

Identify and resolve claim errors, discrepancies, and exceptions.

Handle claim denials, rejections, and pend claims by reviewing the required information and taking appropriate action.

Ensure accurate payment, adjustment,



and denial processing as per client guidelines.

Research and resolve claims-related issues using available systems and reference documents.

Maintain accuracy and productivity as per defined process metrics and quality standards.

Follow HIPAA, data privacy, compliance, and organizational policies while handling patient and insurance information.

Coordinate with internal teams when required to resolve complex claim-related issues.

Maintain proper documentation of claim processing activities and ensure timely completion of assigned work.

How to Apply

Interested candidates can share their updated resume through the whatsapp:

Ranjith HR: (phone hidden)

📌 Claims Adjudication (Chennai)
🏢 Access Healthcare
📍 Chennai