Health Insurance Specialist
MD India Health Insurance TPA, PVT LTD.
Pune, Maharshtra, Maharashtra, India
11.2017 - 02.2021
- Reviewed patient records to ensure accurate and timely billing of health insurance claims.
- Developed procedures for filing, tracking and retrieving medical claim forms.
- Assessed eligibility of patients for health insurance coverage based on policy guidelines.
- Processed payments from insurers in accordance with contractual obligations.
- Resolved discrepancies between invoices and insurance claims data.
- Analyzed provider contracts to identify reimbursement rates for various services.
- Monitored changes in the healthcare industry to ensure compliance with regulations.