Medical Claims Review Senior Analyst

Cigna · Bengaluru, IN

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Medical Claims Review Senior Analyst– Complex Claim Unit MBBS doctor with Oncology experience Provides clinical review expertise for high dollar and complex claims, including facility and professional bills. Provides cost containment services by identifying coding and billing errors and insuring application of Medical and Reimbursement Policies. Additionally identifies cases for potential fraud and abuse and makes referrals. Major Job Responsibilities • Evaluates medical...