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US Medical Claims Processing Specialist

Core2Code Healthcare

Chennai, Tamil Nadu, India

₹500,000 / yr

Join our dynamic team as a US Medical Claims Processing Specialist in Chennai, Tamil Nadu, India. In this vital role, you will contribute to the healthcare industry's efficiency by ensuring accurate processing of medical claims. Our company, a mid-sized organization known for its commitment to excellence, fosters a collaborative work environment where each member's impact is valued. This position is integral to streamlining claims processing, thus enhancing patient care and optimizing financial performance.Key ResponsibilitiesReview and analyze medical claims for accuracy and completeness before submission to insurance providers.Maintain thorough documentation of all claims processed, ensuring compliance with regulatory guidelines.Conduct data analysis to identify patterns or issues in claims processing and propose effective solutions.Collaborate with healthcare providers to resolve discrepancies in claims and facilitate a smooth payment process.Stay updated on insurance regulations and coding standards to ensure compliance and mitigate risk.Participate in team meetings to provide input on process improvements and best practices in claims management.Support the training of new team members on claims processing standards and procedures.Required and Preferred QualificationsBachelor's Degree in Healthcare Administration or a related field.Proficiency in Medical Coding and understanding of regulatory guidelines.Strong data analysis and documentation skills.Technical proficiency in relevant software tools for claims processing.Experience in healthcare or claims processing roles, with a preference for 2-3 years in a similar position.Exceptional problem-solving abilities and a collaborative mindset.Our workplace culture centers around growth and support, with opportunities to further your professional development through training programs and certifications. Employees benefit from a modern workplace environment, flexible hours, and a focus on work-life balance.As part of our healthcare team, you will leverage common tools used in the field, including advanced data management systems. You will work within a dedicated team structure, reporting directly to the Claims Processing Supervisor, and collaborating cross-functionally with other departments to enhance claims processing workflows.Join us in making a lasting impact on the healthcare system while growing in your career as a US Medical Claims Processing Specialist! Swetha HR
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US Medical Claims Processing Specialist at Core2Code Healthcare | CazVid