Administrative activities:

• Review and Audit Medical Claims to ensure their accuracy.
  • Resubmission of rejected claims
  • Ensure that the agreed price list and provider manual from insurance companies are followed for billing the service to the respective payers.
  • Ensure that the Billing officers are updated on time with the rejections and corrective action is taken to avoid such instances in future
  • Handling the Resubmission of rejected claims, follow up with respective doctors for justifying the claims if necessary and prepare them for resubmission.
  • Submit the claims with proper codes and format to insurance companies within the stipulated time.

Administrative activities:

• Review and Audit Medical Claims to ensure their accuracy.
  • Resubmission of rejected claims
  • Ensure that the agreed price list and provider manual from insurance companies are followed for billing the service to the respective payers.
  • Ensure that the Billing officers are updated on time with the rejections and corrective action is taken to avoid such instances in future
  • Handling the Resubmission of rejected claims, follow up with respective doctors for justifying the claims if necessary and prepare them for resubmission.
  • Submit the claims with proper codes and format to insurance companies within the stipulated time.

• Medical/paramedical (Nursing, pharmacy, etc..) graduate from a recognized university
• Experience in Insurance Claims management/adjudication (minimum 2 years)
• Experience in Medical Coding is preferable.
• Flexible and able to work under pressure
• Knowledge in using computer and related software applications and proficient in using MS office programs.
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