Executive-Back Office-Claims Medical Bill Review
EXL
Noida, Uttar Pradesh, India2h agovia LinkedIn
About the Role
The Adjudication Associate is responsible for the timely and accurate payment of medical bills submitted by US-based hospitals and doctors.
Key Responsibilities
- Claim adjudication
- Checking compensability
- Invoice review
- Validation of details in other systems
- Determine/decide on the accuracy of the amount billed and/or the need for denial of the claim based on research results
- Liaise with claims handlers on an as-needed basis
Requirements & Tech Stack
None explicitly stated in the provided text.
Qualifications
None explicitly stated in the provided text.