Chavan Kumar is a Cotiviti India Pvt Ltd (US HealthCare) Senior Specialist-Payment Accuracy Client : Aetna HealthCare (US HealthCare).
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Senior Specialist-Payment AccuracyCotiviti India Pvt Ltd Mar 2019 - Aug 2020IndiaCotiviti India Pvt Ltd (US HealthCare) Senior Specialist-Payment Accuracy Client : Aetna HealthCare (US HealthCare). Project Name : Contract Compliance (Pilot Batch/Process). OutBound Calling and E-Mails.-The Senior Specialist Payment Accuracy position is an entry level position responsible for Auditing claims on clientsystem and validating the codes used and adjudicating the claims. -Auditing the claims based on the contracts languages for different claim… Show more Cotiviti India Pvt Ltd (US HealthCare) Senior Specialist-Payment Accuracy Client : Aetna HealthCare (US HealthCare). Project Name : Contract Compliance (Pilot Batch/Process). OutBound Calling and E-Mails.-The Senior Specialist Payment Accuracy position is an entry level position responsible for Auditing claims on clientsystem and validating the codes used and adjudicating the claims. -Auditing the claims based on the contracts languages for different claim reports.-Auditing the claims based on standard medical codes (i.e. CPT, ICD-10, HCPCS, DRG and Rev Codes, etc).-Applying hospital/facility contract pricing as needed (including DRG).-Adjusting claims benefit payments on the Atena Client System, including manual calculations of complex itemsand manual adjustment to the system as needed to correctly adjudicate claim benefit payment for plan benefits;enrollment contracts, reimbursement schedule, provider contracts, and referral authorization. Show less
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Chavan Kumar's current role is Cotiviti India Pvt Ltd (US HealthCare) Senior Specialist-Payment Accuracy Client : Aetna HealthCare (US HealthCare).
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Chavan Kumar
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Chavan Kumar
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