Chavan Kumar Email & Phone Number

Chavan Kumar is a Cotiviti India Pvt Ltd (US HealthCare) Senior Specialist-Payment Accuracy   Client : Aetna HealthCare (US HealthCare).

• Senior Specialist-Payment Accuracy

  Cotiviti India Pvt Ltd

  Mar 2019 - Aug 2020 - India

  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… 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