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Redline medical claim

hello and welcome to I back venture carrier guide this video talks about the process of claim adjudication the course is designed by our experts from peers of on job experience with payers like you AG Aetna Cigna Anthem and other commercial payers so everything you see here is the direct result of preparing you for the job of clean adjudication there is simple definition of clean adjudication process the process starts when the claim is received from a provider like clinics or hospitals the insurance company means payer then determines firstly if they are responsible for paying the claim if yes how much should be paid how much should be denied this process of checking the claim to determine payment or denial is referred as claim adjudication process the definition clearly marks the healthcare vertical which you would be joining in other words this process limits the job opportunities to only insurance companies payer services and not to providers or business associates with provider clients we to ensure that you understand the role further picked up the job description of a claims associate candidate posted by a multinational US healthcare insurance company working out of u.s. Philippines and India the primary responsibilities are accurate processing and completion of medical claims process claims that route out of automatic adjudication within current turnaround standards a few other requirements relevant to for job was the ability to understand and apply plan concepts to include deductibles coinsurance out of pocket steak variations even though employees are given on job training the consequence for an organization is of course cost hiring costs training cost and the time it takes for an employee to become productive now to complete the cycle we picked up an interesting resume of one to two years of experience claim education associate to determine what is written in the job profile medical claims processor main responsibility is to handle the insurance claims of patients reviewing and accessing claims authenticating the information received reviewing all records entering claims into database using necessary software managing and processing insurance claims and documenting all activities comparatively from an experience kandi who has healthcare knowledge to a fresher is everything other than the core job responsibilities which is health care knowledge a fresher with no knowledge in health care would attend an interview with what we call basics which includes education communication skills work location computer skills and so on what if we could change that and make a fresher healthcare proficient well this course is custom designed specially to answer those wat X the claims adjudication certification is designed for freshers or individuals to get proficient in subject to ensure the job is performed to the best of their ability and for organizations to reduce cost cost of hiring and training at the end of this course the only training you would need is the software your employer uses to perform clean adjudication we are a team of international healthcare experts with a combined experience of over 80 plus years of on job industry experience we train test and certify you from the very basics of international health care to mandatory acts like HIPAA while you are at home learn at your own pace a 24/7 self-paced online course nish contain courses and versions instant certification we facilitate carrier assistant campus interviews in multiple cities 200 plus companies hire from us all at absolutely no cost to you we are proud I back venture a team of international health care experts proud to be a part of international health care community get trained and certified in international health care come join the team