Overview
Who you'll be working for
The client is a BPO on an insurance project.
What requirements you'll need to be eligible
With 1 - 3 years of experience in medical claims handling
With healthcare background is preferred
With knowledge of medical terminology, billing codes (ICD 9, ICD 10, CPT) and medical insurance polices is preferred
Strong team player, willing to learn, able to work independently and effectively under pressure
What you'll be doing on the job
Assess medical claims in compliance with the terms and conditions of the policy
Verify medical codes, diagnosis and procedure to ensure compliance with industry standards (e.g. ICD 9, ICD 10, CPT)
Escalate enquiries and complex cases to Senior when necessary in line with internal guidelines
Process claims payment ...