LOCATION: THORAIPAKKAM
We are looking for a driven and curious Claims Processing Executive (CPE) to join our
- growing dynamic medical billing team. The ideal candidate will perform all activities
- involved in the preparation, insurance verification and retrieval of medical records for US
- Workers’ Compensation claims. The CPE will act as the liaison between key Client
- contacts and insurance companies primarily through phone.
- Key Responsibilities:
- Analyse and evaluate worker’s compensation claim payments using client
- proprietary software, systems and tools. Use payment documentation provided by
- payers to determine if the medical provider has been reimbursed in compliance
- with the applicable state worker’s compensation fee schedule and/or PPO
- contract.
- Research, request and acquire all pertinent medical records, implant
- manufacturer’s invoices and any other supporting documentation necessary and
- then submit with hospital claims to insurance companies to ensure prompt correct
- claims reimbursement.
- Conduct timely and thorough telephone follow-up with payers to ensure claims
- with supporting documentation have been received and facilitate prompt
- reimbursement.
- Prepare correct Workers’ Comp initial bill packet or appeal letter using Client
- systems tools and submit with all necessary supporting documentation to
- insurance companies.
- Other duties as required.
Job Types: Full-time, Fresher
Pay: ₹20,000.00 - ₹30,521.24 per month
Work Location: In person
