It usually contains one or more errors that were found before the claim was ever processed or accepted by the payer. A rejected claim is typically the result of a coding error, a mismatched procedure and ICD code(s), or a termed patient policy.
These types of errors can even be as simple as a transposed digit from the patient’s insurance member number. Providers use these detailed medical records to validate their reimbursements to payers when a conflict with a claim has been issued.
Denied claims:
Theseare medical claims that have been received and processed by the payer but have been marked as unpayable. These “unpayable” claims typically contain some sort of error or lack of prior authorization that became flagged after the claim was processed.
Some of the issues for denials may include missing information, non-covered services per plan, or even not medically necessary services.
Job Types: Full-time, Regular / Permanent
Salary: From ₹15,000.00 per month
Benefits:
- Health insurance
Schedule:
- Night shift
- Rotational shift
- US shift
Supplemental pay types:
- Commission pay
Ability to commute/relocate:
- Hyderabad, Telangana: Reliably commute or planning to relocate before starting work (Required)
Experience:
- total work: 1 year (Preferred)
Speak with the employer
+91 6302851962
