Process Associate – Medical Billing Experience : 0 - 1 Years Location : Thanjavur Key Responsibilities Claim Review: Examine and adjudicate medical claims to ensure completeness, accuracy, and compliance with payer policies and regulations. Data Verification: Verify patient information, medical services, and provider details to ensure proper billing and coding. Issue Resolution: Identify and resolve discrepancies, errors, or issues related to claims processing, including coordinating with healthcare providers and payers as needed. Documentation: Maintain accurate records of claim adjudication processes, decisions, and communications. Regulatory Compliance: Stay updated on changes in healthcare regulations, payer policies, and billing procedures to ensure compliance. Customer Service: Provide exceptional support to internal teams, healthcare providers, and patients regarding claim status and resolution. Reporting: Generate and review reports related to claim processing metrics and performance. Qualifications Experience: 1-2 years of experience in medical billing, coding, or claims adjudication. Knowledge: Familiarity with medical billing codes (CPT, ICD-10, HCPCS) and payer guidelines. Skills: Strong analytical skills, attention to detail, and problem-solving abilities. Communication: Excellent written and verbal communication skills to effectively interact with stakeholders. Technical Proficiency: Proficient in medical billing software and MS Office applications. Education: Any Degree Preferred with Good Communication and domain Knowledge
Job Title
Process Associate