BPO Transaction Quality Assurance Analyst
Published date: 2024/01/10
- Location: Chennai, Tamil Nadu, India
Roles and Responsibilities:
• Process Adjudication claims and resolve for payment and Denials
• Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
• Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
• Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
• Organizing and...
• Process Adjudication claims and resolve for payment and Denials
• Knowledge in handling authorization, COB, duplicate, pricing and corrected claims process
• Knowledge of healthcare insurance policy concepts including in network, out of network providers, deductible, coinsurance, co-pay, out of pocket, maximum inside limits and exclusions, state variations
• Ensuring accurate and timely completion of transactions to meet or exceed client SLAs
• Organizing and...
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