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• Proficient with medical terms & systems.
• Understanding of Policy terms & conditions and various hospital protocols/guidelines.
• Understanding of Claims adjudication / Claims Processing.
• Maintaining & Ensuring Standard Operating Procedures & Protocols.
• Manage volumes effectively & efficiently to maintain the turnaround time of processing.
About the Role
Responsibilities:
• Medical Scrutiny.• Proficient with medical terms & systems.
• Understanding of Policy terms & conditions and various hospital protocols/guidelines.
• Understanding of Claims adjudication / Claims Processing.
• Maintaining & Ensuring Standard Operating Procedures & Protocols.
• Manage volumes effectively & efficiently to maintain the turnaround time of processing.
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