Jobs›Executive, Chennai

Senior Executive - Claims Audit

EXL · Chennai
PayPay not listed
WhereChennaiTamil Nadu
TypeContract
Posted24 Sep17 days ago, via Adzuna
Kaam checked
No fee, deposit or pay-to-apply signs
Good spoken and written English expected
Day work
No vehicle or licence needed
About this job

Description Claims Processing & Adjudication: Review, analyze, and process healthcare claims accurately based on payer rules, policy guidelines, and contractual terms. Perform manual payment determination and allowable calculations without relying on system tools. Revenue Optimization & Data Mining: Identify gaps, underpayments, and missed revenue opportunities through data analysis and claims review. Support data mining programs by providing insights for revenue realization and process improve…

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