• ​​​​​​Claims Adjudication / Adjustment 
• Having HCFA 1500 and UB04 processing is desirable (not mandatory). 
• Facets experience is a plus (not mandatory)
• Working on multiple screens, hand-on with claims processing Review and
• scrutinize claims and process claims into the computer system as per the provided DLPs /guidelines 
• Determine accurate claims payment or denial, identify, and elevate dubious claims or system issues to process the claim accurately. 
• Process claims in a timely manner, as per the required TAT 
• Correct errors or omissions on claim and investigate questionable data 
• To maintain Quality as per the SLA 
• To maintain Productivity as per the SLA 
• Continuously meet and exceed the assigned Targets
• Performance should be maintained in accordance with the process performance parameters 
• To maintain confidentiality of work done 
• To follow all regulatory requirements and procedures as per the company policy 
• Display high levels of professionalism in the work delivered and overall conduct 

• Claims Adjudication / Adjustment experience
• Having HCFA 1500 and UB04 processing is desirable (not mandatory)
• Facets experience is a plus (not mandatory)

Please send resumes to neeraj@reqroute.com