Job Description
We are looking for a detail-oriented claims processor to join our insurance team. You will be responsible for preparing claim forms, verifying information, and corresponding with agents and beneficiaries. You will also handle client inquiries, review policies, determine coverage, calculate claim amounts, and process payments. To be successful as a claims processor, you should have excellent organizational and interpersonal skills. You should also be able to work under pressure and perform a range of clerical functions with great attention to detail. Claims Processor Responsibilities:
Communicating with insurance agents and beneficiaries.
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- Preparing claim forms and related documentation.
- Reviewing claim submissions and verifying the information.
- Recording and maintaining insurance policy and claims information in a database system.
- Determining policy coverage and calculating claim amounts.
- Processing claim payments.
- Complying with federal, state, and company regulations and policies.
- Performing other clerical tasks, as required. Claims Processor Requirements:
- At least 2 years of experience as a claims processor or in a related role.
- UBO4
- Charge entry
- Excel Expert
- Working knowledge of the insurance industry and relevant federal and state regulations.
- Computer literate and proficient in MS Office.
- Excellent critical thinking and decision-making skills.
- Good administrative and organizational skills.
- Strong customer service skills.
- Ability to work under pressure.
- High attention to detail.
- Follow up on unpaid claims within standard billing cycle timeframe
- Check each insurance payment for accuracy and compliance with contract discount
- Review patient bills for accuracy and completeness and obtain any missing information
- Call insurance companies regarding any discrepancy in payments if necessary
- Identify and bill secondary or tertiary insurances
- All accounts are to be reviewed for insurance or patient follow-up
- To communicate effectively with Team and Clients.
- To maintain the protocols and documentation of each performed task.
- Any other task as assigned by the management.
Requirement:
- Proficient in English speaking Excellent communication skills
- Experienced of AR/Billing 2 Year or above
- Able to work from 5 PM-2AM (Fri)
Skills
Commercial Insurance, Medical Billing, Processing, Medical Information Systems
Job Type: Full-time
Salary: Rs50,000.00 - Rs70,000.00 per month
Education:
- Intermediate (Preferred)
Experience:
- Claim Processor-Medical Billing: 2 years (Required)
Language:
- Exceptional English Communication (Preferred)
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