"While going for an interview don't forget to mention you got this reference from Aasaanjobs"Title: CPE (Claims Processor Executive)Location: BangaloreJob Description:Review medical records and follow stringent protocolsto determine whether patients meet the standards for insurance reimbursement.Clinical review for medical necessity of identifiedclaims.Documentation of clinical rationale supportingfindings of the review.Apply clinical judgment, honed over years in acutecare settings, to make responsible decisions that promote appropriate recordsreview and applications usage while keeping resources available to those mostin need.Have understanding of ICD-9, CPT and HCPCS codes andtheir application in the US Health insurance domain.Review and validate all information pertaining to theclaim. Comply with procedures, regulations, and rules inmaintaining medical records.Interacts on a continuous basis with other departmentsby directing activities towards positive outcomes. Criteria:BSC / MSC Nursing 5 days work/ 2 weekly offs on weekendTransport facility provided (Pick and Drop)Work Schedules 5 days weekWilling to work in Rotational shiftsSalary:13,000 to 17,000 per monthShift:rotational WeekOffs: Saturday and Sunday Fixed OffKengeri, Bengaluru
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