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Company
UnitedHealthGroup
Website
www.uhg.com
Eligibility
Any Graduate
Experience
Freshers
Location
Hyderabad
Job Role
Claims
Associate
JOB SUMMARY:
Company Profile:
At TESTEGG SOFTWARE pvt ltd we provide everything
for your business online, website design and development for
Standard & Ecommerce sites, SSL Certificates, Emails, Shopping
carts designs. We provide marketing and online advertising services
as well as Search Engine Optimization (SEO).
We offer the reliability and scalability
of business solutions at an economical price, taking the burden
of IT development and support off your shoulders and onto our
own, giving you the freedom to focus on what you want to do
in your business at your best-innovate, improve and deliver
your core business functions.
Job Description:
1. Provide general claims support by
reviewing, researching, investigating, negotiating, processing
and adjusting claims.
2. Authorize the appropriate payment
or refers claims to investigators for further review.
3. Conduct data entry and re-work; analyzes
and identifies trends and provides reports as necessary.
4. Analyze and identify trends and provide
reports as necessary
5. Consistently meet established productivity,
schedule adherence, and quality standards
6. Recognize claims by determining claim
type - HCFA, Hospital, UB, and/or RX
7. Identify more complicated claims and
refer them to Senior Claim Processor or Supervisor
8. Calculate other insurance and re-pricing
benefits
9. Work claims files to ensure the appropriate
eligibility and provider records are matched to the claim pdates
and maintains claims tracking database
10. Production claims processing per
hour with high level of accuracy.
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