Shaik Sultan Email & Phone Number

Hyderabad, In

Telangana, India

1. Processed claim forms, adjudicates for provision of deductibles, co-pays, co-insurance maximums and provider settlements.2. Entered claims data into system.3. Performed audit of randomly selected claims to ensure quality processing.4. Researches claim over payments and requests funds.5. Resolved problems resulting from claim settlement.6. Followed adjudication policies and procedures to make sure proper payment of claims.7. Complete knowledge on UB04 & HCFA 1500… Show more 1. Processed claim forms, adjudicates for provision of deductibles, co-pays, co-insurance maximums and provider settlements.2. Entered claims data into system.3. Performed audit of randomly selected claims to ensure quality processing.4. Researches claim over payments and requests funds.5. Resolved problems resulting from claim settlement.6. Followed adjudication policies and procedures to make sure proper payment of claims.7. Complete knowledge on UB04 & HCFA 1500 FORMS.8. Processing inpatient hospital claim both normal and high dollar. Show less

Telangana, India

- Responsible for the accurate processing and completion of Medical and hospital claims.- Process claims, that route out of automatic adjudication, within current turnaround standards.- Proficiency in product lines applicable to processing unit.- Ability to understand and apply plan concept to include:DeductibleCoinsuranceCo-payOut of pocketState variations