Claim Specialist Job in MNR Solutions Pvt Ltd

Job Description

Hiring for Claim Specialist for US Healthcare Process 

Location- Pune Bhavdan 

Exp- 1 Year

Shift Timing -9am-6pm (5 Days Working )

Profile Overview:

• Graduate with 1-3 years Experience of Billing.
• Have a good understanding of US Healthcare medical billing rules, abbreviations, and state specific insurance guidelines.
• Familiarity with using Payer Portals for viewing and downloading Explanation of Benefits (EOBs).

Key Responsibilities:

• Accurate entry of Patient Demographic information as provided in medical records.
• Charge Entry should be done according to the procedures mentioned on record.
• Apply medical billing concepts, Federal and commercial insurance plans including HMO, PPO, and POS guidelines.
• Maintain high accuracy in charge entry, minimizing errors and discrepancies. Double-check all charge entries for completeness and correctness.
• Conduct thorough charge reviews to identify any potential coding errors, missing charges, or other issues impacting revenue generation.
• Familiarity with HIPAA regulations and compliance requirements.

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Rs 0 - 50K PM Rs 50K - 1 LPA Rs 1.0 - 1.5 LPA Rs 1.5 - 2.0 LPA Rs 2.0 - 2.5 LPA Rs 2.5 - 3.0 LPA Rs 3.0 - 3.5 LPA Rs 3.5 - 4.0 LPA Rs 4.0 - 4.5 LPA Rs 4.5 - 5.0 LPA Rs 5 - 6 LPA Rs 6 - 7 LPA Rs 7 - 8 LPA Rs 8 - 9 LPA Rs 9 - 10 LPA Rs 10 - 12 LPA Rs 12 - 14 LPA Rs 14 - 16 LPA Rs 16 - 18 LPA Rs 18 - 20 LPA Rs 20 - 22 LPA Rs 22 - 24 LPA Rs 24 - 26 LPA Rs 26 - 28 LPA Rs 28 - 30 LPA Rs 30 - 32 LPA Rs 32 - 34 LPA Rs 34 - 36 LPA Rs 36 - 38 LPA Rs 38 - 40 LPA Rs 40 - 42 LPA Rs 42 - 44 LPA Rs 44 - 46 LPA Rs 46 - 48 LPA Rs 48 - 50 LPA Rs 50 - 75 LPA Rs 75 Lakh - 1C PA Rs 1 Crore+ PA

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Keyskills:   medical billing claims processing claim settlement charge entry us healthcare