<p><strong>What role you will play in team:</strong> You will be reviewing medical claims for accuracy and compliance with company policies and regulations.</p><p><strong>What you will do:</strong>  You will analyze medical records, verify coding accuracy, and make decisions on claim approvals or denials.</p><p><strong>Key responsibility:</strong><ul><li>Review medical claims for accuracy and completeness</li><li>Analyze medical records to verify diagnoses and procedures</li><li>Verify coding accuracy and compliance with regulations</li><li>Make decisions on claim approvals or denials</li><li>Maintain accurate records of claim review activities</li><li>Communicate with providers and other stakeholders</li><li>Identify and report potential fraud</li></ul></p><p><strong>Required Qualification and Skills:</strong><ul><li>Bachelor's degree in healthcare or related field</li><li>Experience in medical claims review is a plus</li><li>Knowledge of medical terminology and coding</li><li>Strong analytical and problem-solving skills</li><li>Excellent attention to detail</li></ul></p><p><strong>Benefits Included:</strong><ul><li>Competitive salary and benefits package</li><li>Opportunities for professional growth and development</li><li>Positive and collaborative work environment</li><li>Comprehensive health insurance coverage</li></ul></p><p><strong>A Day in the Life:</strong> You will start by reviewing claims and associated medical records. You'll verify the coding and make informed decisions about approval or denial, ensuring adherence to company policies and guidelines.</p>