<p><strong>What role you will play in team:</strong>  Review medical claims for accuracy and compliance with guidelines.</p><p><strong>What you will do:</strong> Verify medical necessity, coding accuracy, and documentation completeness.</p><p><strong>Key responsibility:</strong><ul><li>Reviewing medical claims for accuracy and completeness.</li><li>Verifying medical necessity and appropriateness of services.</li><li>Ensuring compliance with regulatory guidelines and payer contracts.</li><li>Identifying and resolving discrepancies.</li><li>Maintaining accurate records of all claim review activities.</li><li>Collaborating with other reviewers and medical staff.</li></ul></p><p><strong>Required Qualification and Skills:</strong><ul><li>Bachelor's degree in Healthcare Administration or related field preferred.</li><li>Experience in medical claims review is a plus.</li><li>Knowledge of medical terminology and coding (ICD-10, CPT).</li><li>Excellent analytical and problem-solving skills.</li><li>Strong attention to detail.</li></ul></p><p><strong>Benefits Included:</strong><ul><li>Competitive salary and benefits package.</li><li>Opportunities for professional growth.</li><li>A collaborative and supportive team environment.</li><li>Health Insurance</li><li>Paid Time Off</li></ul></p><p><strong>A Day in the Life:</strong> A typical day involves reviewing medical claims, verifying information, identifying discrepancies, and collaborating with other reviewers.</p>