Job Description

• Should have knowledge of Medical terminology, human anatomy with basic math knowledge of calculating simple interest, compound interest.
• Should have in-depth knowledge of ICD 10, CPT, Surgery procedures, Revenue codes
• Processing around 80 to 90 claims daily within a set quality parameter
• Should have strong English & Science knowledge to comprehend Medical reports
• Job involves written communication to US policyholders on their claims status and documentation requirement to process the claim
• To ensure claims are adjudicated as per the guidelines of the company. Provide continual evaluation of processes and procedures. 
• Complying with company regulations regarding HIPAA, confidentiality, and private health information
• Should have good comprehension and analytical skills
• Should have excellent problem-solving skills
• Should have positive approach and open to learn process dynamics
• Should have good communication, verbal and written English
• Should be open to work 24*7 and mandatory US timings, night shift

Link to circular: https://erp.aktu.ac.in/Attachments/Circular/166185bk32ubq.pdf