Medical Claims Processor
1 week ago
About Cognizant:
Cognizant is a leading provider of business consulting and operational services, helping our clients achieve their strategic goals. Our team is dedicated to delivering high-quality solutions that meet the evolving needs of our clients.
Job Summary:
We are seeking a skilled Medical Claims Processor to join our team in Cebu. As a Medical Claims Processor, you will be responsible for processing medical claims, verifying patient information, and ensuring accurate billing.
Key Responsibilities:
- Process medical claims, verify patient information, and ensure accurate billing
- Collaborate with healthcare professionals to resolve claim disputes and issues
- Analyze data to identify trends and areas for process improvement
- Develop and maintain relationships with internal stakeholders to ensure seamless claim processing
- Stay up-to-date on regulatory requirements and industry developments
Required Skills and Qualifications:
- Bachelor's degree in Nursing, Physical Therapy, or Occupational Therapy
- Familiarity with CPT codes, ICD-9, ICD10, itemized medical and hospital bills, hospital records
- Proficient in basic medical terminology and medical bill processing experience recommended
- At least 6 months BPO work experience (Voice) preferably in handling healthcare claim inquiries
- Amenable to working onsite in Cebu and shifting schedules
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