Remote worker with 4+ years of experience - Last seen 1 year ago

I have 2.4years' experience in U.S. Healthcare domain, looking forward to a career in which my abilities, interests, knowledge and skills utilized into a meaningful contribution towards meeting the organization.
• Processed claims in accordance with Service Level Agreements (SLAs).
• Verified provider information to determine if the provider was in-network or out-of-network.
• If the provider was in-network, processed the claim as per the guidelines. If the provider was out-of-network, prepare and send a letter to the provider, notifying them that the claim was out-of-network, and would be closed. Applied exceptions for out-of-network claims when the referring provider was in-network, but the individual provider or billing provider was out-of-network, in which case the claim was processed.
• Checked for duplicate claims in in-network cases and denied payment for any duplicate claims.
• Consistently met daily processing targets.
• Processed claims within the turnaround time (TAT).
• Provided buddy support to new joiners, guiding them on processes and procedures.
• Assisted the team by collecting daily production data from associates and submitting it to Team Leads.
• Gained expertise in handling authorizations, duplicate claims, copay, coinsurance, and Deductible.
• Familiar with the Facets system for claim processing

🛂 Nationality	🇮🇳 India
🏡 Residency	🇮🇳 India
📍 Location	🇮🇳 India
Remote OK	rok.co/@maheshreddy5284
Instagram	sdfljasfjkhsdfajsf ⭐️ Upgrade to Premium to contact
Skilled in	facets cas application
Fluent in	english
Preferred annual pay (min)	$8,000/year
Preferred hourly pay (min)	$4/hour
Last seen	1 year ago
Signed up	1 year ago
Badges	👨‍💻 Remote worker 🎨 Maker 🎖 Early adopter