Job Description
Responsibilities
- 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.
Qualifications
- Medical/Nursing graduate from a recognized university.
- Experience in Insurance Claims Resubmission
- Experience in Medical Coding is preferable.
- Excellent command of oral and written English.