...hospital contracts & taking appropriate action basis that
• Referring cases to various department like HCS, TMT, Triage after adjudication as and when required
• Identify any over charge, ineligible chargers, contract compliance, Provider or Member Fraud
Qualifications...
...in usage of MS Office suite
Work Experience Requirements:
Experienced:
3 - 5 years of experience in Dental claims adjudication
Technical Skills
· Computer navigation skills
· Keyboarding and data entry speed (minimum 30 wpm with 90% accuracy...
...availed by all in the efficient and cost-effective manner.
Website :
Key Responsibilities :
- Scrutiny of medical documents and adjudication.
- Assess the eligibility of medical claims and determine financial outcomes.
- Identification of trigger factors of...