Neha Singh Email & Phone Number

India

Check patient demographics details.Check the patient's eligibility electronically.Understanding the medical history of the member/ provider claim.

India

Responsible for the accurate processing and completion of cashless medical claims. Process claims, within current turnaround standards.Ability to understand and apply plan concepts to include:Deductible, Coinsurance, Co-pay, out of pocket and Maximums, inside limits and exclusionsEnter claim payments and new claims on computer system , inputting concise yet sufficient file documentation-Verifying and reviewing all the insurance company claims( TPA, hospital inpatient & out… Show more Responsible for the accurate processing and completion of cashless medical claims. Process claims, within current turnaround standards.Ability to understand and apply plan concepts to include:Deductible, Coinsurance, Co-pay, out of pocket and Maximums, inside limits and exclusionsEnter claim payments and new claims on computer system , inputting concise yet sufficient file documentation-Verifying and reviewing all the insurance company claims( TPA, hospital inpatient & out patient and specialist claims)-Understanding the medical history of the member/ provider claims-Resolve problems resulting from claim settlement and reduces claim frequency- Improve productivity and morale with claim reporting consistency-Increase preferred provider network penetration.- Instant information leading to early intervenation and prevenation.- To ensure quality claims processing with proper payment of claims-Audit the claims with proper investigation related to high payment validation, contract analysis. Show less

Noida, Uttar Pradesh, India

IPD billing

India

-Evaluate claims referred for medical management and make recommendation for follow-up, further investigation or documentation as necessary.- Checking all available documents mainly are cover letter , per-auth form, photo id,discharge summary,final bill, co -pay recieipts etc.- All demographic details check, comparing documents and in our system.-Checking diagnosis & line of treatment as per the standard policy exclusions.- Non medical expenses and co-pay , checking discount… Show more -Evaluate claims referred for medical management and make recommendation for follow-up, further investigation or documentation as necessary.- Checking all available documents mainly are cover letter , per-auth form, photo id,discharge summary,final bill, co -pay recieipts etc.- All demographic details check, comparing documents and in our system.-Checking diagnosis & line of treatment as per the standard policy exclusions.- Non medical expenses and co-pay , checking discount amount as per the standard policy exclusions.- In maternity claims, 9 months waiting period, number of children covered in policy.- There should be no discrepancy in through out claim documents.-Respond to all query's and calls regarding company cost containment program,utilizatin review decisions, and reductions.- Review all medical/ surgical billings for reasonable and necessary charges. Show less

M.Sc, Biotechnology

Bachelor Of Science - Bs, Z.B.C.

Intermediate Education, Biology/Biological Sciences, General

High School, P.C.M