• Entering client and account data from source documents accurately.

• Review claim submissions, obtain and verify information, correspond with insurance agents and beneficiaries, and process claim payments.

• Compiling, verifying accuracy, and sorting information to prepare source data for computer entry.

• Knowledgeable in medical coding and health care cost sharing

• Process claims with different US health insurances like Anthem, BCBS, CIGNA, AETNA

• Trained to comply HIPAA guidelines/regulations

• Authorize to disclose information such as claim denial and status after HIPAA

• Review claim payments and allowed amounts if underpaid or overpaid •

Scan documents received from providers like medical records, appeal, pre auth

• Verify patient’s claims, benefits and eligibility, pre-certification requirement

• Determine correct coordination of benefit for health claims