Pavan Gola
Claim specialist
- Role
- Claims Specialist at Wellcove
- Location
- Delhi, IN
- LinkedIn followers
- 500 followers
Experience
Claims Specialist
Dec 2022 — Present · Noida, IN
Working on US Healthcare on Claim Adjudication. • Worked on accident and wellness line of business claims. • Checking Eligibility of Member in insurance portal, Co-ordination of Benefit (COB), and we also check the necessary information such as providers, diagnosis codes, CPT codes, correct place of service etc. • Worked on Open PM, PEGA, CPS (claim processing system), Claim Central, UB04, CMS 1500, U200 and nonstandard Billing. • To prepare the reports of assign work, quality and production and share with team members in absence of team lead. • Knowledge and use of ICD-10, Revenue codes and CPT Coding. • Work on Escalation’s and Beelines and take immediate action within deadline.
Education
Delhi University
Bachelor of Commerce - BCom
2018 — 2019
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