Job Title : Claim Adjustment
Duration : 11+ Months
Location : 100% Remote
Client laptop
BGV must be cleared to start
Job Description
Knows how to review HCFA 1500 and UB04 processing (not mandatory)
Facets experience is a plus (not mandatory)
Working on multiple screens, hand-on with claims processing
- Claims Adjudication / Adjustment
- Knows how to review HCFA 1500 and UB04 processing (not mandatory).
- Facets experience is a plus (not mandatory)
- Working on multiple screens, hand-on with claims processing
- Review and scrutinize claims and process claims into the computer system as per the provided DLPs / guidelines
- Determine accurate claims payment or denial, identify, and elevate dubious claims or system issues to process the claim accurately.
- Process claims in a timely manner, as per the required TAT
- Correct errors or omissions on claim and investigate questionable data
- To maintain Quality as per the SLA
- To maintain Productivity as per the SLA
- Continuously meet and exceed the assigned Targets
- Performance should be maintained in accordance with the process performance parameters
- To maintain confidentiality of work done
- To follow all regulatory requirements and procedures as per the company policy
- Display high levels of professionalism in the work delivered and overall conduct
J-18808-Ljbffr
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