Executive-Back Office-Claims Medical Bill Review

Adjudication associate is responsible for the timely and accurate payment of medical bills submitted by US-based hospitals and doctors. The role involves claim adjudication, checking compensability, invoice review, and validating details across systems.

• Ensure timely and accurate payment of medical bills submitted by US-based hospitals and doctors
• Perform claim adjudication, check compensability, and conduct invoice reviews
• Validate details in other systems to determine the accuracy of billed amounts or assess the need for claim denial
• Liaise with claims handlers on a needed basis