Senior Claim Adjudicator
Optum Global Solution Ltd.
Oct 2016 - Sep 2018 (2 years)
• Adjudicate claim according to fired reviews by system mechanism.
• Knowledge of ICD-9/10 Diagnosis codes, Medical procedure codes, Revenue codes, place of medical service, coordination of benefit, member selection as per effective date, Hospice care eligibility finding, IDRS image reading, EDSS file format reading.
• Tools Used: Citrix receiver, CPW, HSR, TAS.