Issue in figuring out NOC code for Medical billing Supervisor** Need help please

[Obrahu]

Hi Experts,

i am having hard time figuring out my appropriate NOC code for my profession, following are my job duties, please help me out finding the correct NOC code.

Total experience 5 years in same field.

Designations :

One year - Process Associate - one year Senior process associate - one year Subject matter expert - Two year Acting Team Lead


Calling US insurance companies to follow-up on medical claims, check & update the claim status.

Capturing denials and working on denied claims and take appropriate action for resolution to reimburse the payment for our clients.

RCM Process involving Data, Analysis and Voice process (AR follow up Calling).

Denial Management - working on Appeals on insurances such as Medicare, BCBS, Aetna, Humana etc. Refiling of claims and managing medical records of patients.

Supervising team members and helping them to achieve desired targets to fulfill the client's requirements. We work for US physicians and Medical equipment suppliers.

Please suggest the NOC as it would be great help for me.

Thank you.

 

[|l|R|l|]

From what i understand this is a call centre environment, mine is same but technical , hence Noc 2282 . It includes supervisors but from technical perspective . Since yours is medical im not entirely sure bcuz duties will not match ..

 

[Sicilian]

This seems more to lean towards Claim Examiner.
The suitable NOC for which is 1312-Insurance adjusters and Claim Examiners.

Read it and decide.

1312 Insurance adjusters and claims examiners

Insurance adjusters investigate insurance claims and determine the amount of loss or damages covered by insurance policies. They are employed in claims departments of insurance companies or as independent adjusters. Insurance claims examiners examine claims investigated by insurance adjusters and authorize payments. They are employed at head offices or branches of insurance companies.

Inclusion(s) • production examiner

Illustrative example(s)

• adjuster

• claims examiner

• claims representative

• insurance adjuster

Exclusion(s)

• Supervisors, finance and insurance office workers (see 1212 Supervisors, finance and insurance office workers)

Main duties Insurance adjusters perform some or all of the following duties:

• Investigate circumstances surrounding insurance claims to determine validity of claim

• Inspect automobile, home or other property damage

• Take statements and consult with claimants, accident witnesses, doctors and other relevant individuals and examine records or reports

• Determine amount of loss or damages covered by insurance policies

• Negotiate settlement of claims

• Prepare adjustment reports.

Insurance claims examiners perform some or all of the following duties:

• Review, examine, calculate and authorize insurance claims investigated by insurance adjusters

• Examine adjusters' reports and similar insurance claims or precedents to determine extent of insurance coverage

• Ensure claims are valid and settlements are made according to company practices and procedures

• Consult lawyers, doctors or other relevant individuals to discuss insurance claims

• Approve automobile, fire, life, disability, dental or other insurance claims.

 

[DR.GULRASOOL]

Hi Experts,

i am having hard time figuring out my appropriate NOC code for my profession, following are my job duties, please help me out finding the correct NOC code.

Total experience 5 years in same field.

Designations :

One year - Process Associate - one year Senior process associate - one year Subject matter expert - Two year Acting Team Lead


Calling US insurance companies to follow-up on medical claims, check & update the claim status.

Capturing denials and working on denied claims and take appropriate action for resolution to reimburse the payment for our clients.

RCM Process involving Data, Analysis and Voice process (AR follow up Calling).

Denial Management - working on Appeals on insurances such as Medicare, BCBS, Aetna, Humana etc. Refiling of claims and managing medical records of patients.

Supervising team members and helping them to achieve desired targets to fulfill the client's requirements. We work for US physicians and Medical equipment suppliers.

Please suggest the NOC as it would be great help for me.

Thank you.

Hello, dd you apply? under which NOC code? And did you receive ITA? Kindly share your experience.

 

[rahul10]

Hello, dd you apply? under which NOC code? And did you receive ITA? Kindly share your experience.

Any idea what is the NOC Code for Claims Advisor?
Pelase help

Job Details
KEY ACCOUNTABILITIES

CUSTOMER

• Engage customers in conversations to understand and meet their needs by providing them with advice and service regarding coverage and the claims process
• Provide sound claims advice at every customer interaction to create a legendary customer experience; look for ways to contribute to the on-going improvement of the overall customer experience
• Ensure customer problems are handled appropriately and escalating issues when necessary; refer customers to appropriate team members or internal partners as appropriate
• Demonstrate flexibility to be able to change activities based on customer and business needs
• Create a legendary customer experience at every interaction and look for ways to contribute to on-going improvement of the overall customer experience

SHAREHOLDER

• Prioritize and manage own workload to meet SLA requirements for service and productivity
• Consistently exercise discretion in managing correspondence, information and all matters of confidentiality; escalate issues where appropriate
• Be knowledgeable of practices and procedures within own area of responsibility and keep abreast of emerging trends for claims assessment and litigation
• Protect the interests of the organization – identify and manage risks, and escalate non-standard, high risk transactions / activities as necessary
• Contribute to business objectives for Operational Excellence
• Support the timely and accurate completion of business processes and procedures
• Ensure documentation that is prepared / completed is accurate and properly reflects client / business intentions and is consistent with relevant rules / regulations
• Identify, suggest and actively participate in process improvement opportunities
• Acquire and apply expertise in the discipline, provide guidance, assistance and direction to others
• Identify, recommend and effectively execute standard practices and procedures applicable to insurance claims
• Keep abreast of emerging issues, trends, and evolving regulatory requirements and assess potential impacts
• Maintain a culture of risk management and control, supported by effective processes in alignment with risk appetite
• Assume responsibility to minimize operational and regulatory risk by complying with Bank and industry Code of Conduct

EMPLOYEE / TEAM

• Participate fully as a member of the team, support a positive work environment that promotes service to the business, quality, innovation and teamwork and ensure timely communication of issues/ points of interest
• Support the team by continuously enhancing knowledge / expertise in own area and participate in knowledge transfer within the team and business unit
• Keep current on emerging trends/ developments and grow knowledge of the business, related tools and techniques
• Participate in personal performance management and development activities, including cross training within own team
• Keep others informed and up-to-date about the status / progress of projects and / or all relevant or useful information related to day-to-day activities
• Contribute to the success of the team by willingly assisting others in the completion and performance of work activities; provide training, coaching and/or guidance as appropriate.
• Contribute to a fair, positive and equitable environment that supports a diverse workforce
• Act as a brand champion for the business area/function and the bank, both internally and/or externally

Job Requirements
BREADTH & DEPTH

• Apply foundational level of knowledge to handle routine with minimum risk
• Handle some limited situations for Core Auto claims
• Has limited claim settlement authority and requires next level approval for claims in excess of their authority limit
• Complete work within specifically defined parameters with guidance /direction from management as necessary
• Leverage the Claims Resources Team to make file decisions on liability and assessment
• Intermediate level knowledge with some form of related training and/or related experience or skills; Industry accreditation and training generally required
• Typically reports into a Team Manager

EXPERIENCE & EDUCATION

• College/ University degree
• 2+ years relevant experience

 

[rahul10]

I see that this thread is a bit dated, being three years old. However, I can still provide some guidance on determining the appropriate NOC code for your profession as a Medical Billing Supervisor based on the information you've provided. Given your job duties, it appears that your role aligns with NOC code 1212 - Supervisors, Finance and Insurance Office Workers. Please keep in mind that NOC codes can be updated over time, so it's essential to verify the most current information at https://fortismedicalbilling.com/medical-billing/pathology/. Despite the thread's age, selecting the right NOC code remains crucial for various purposes, so be sure to validate your choice with the most up-to-date information available.

can you pls help me validate if mine is 12201 or 64409
TD insurance Claims Advisor

KEY ACCOUNTABILITIES

CUSTOMER

• Engage customers in conversations to understand and meet their needs by providing them with advice and service regarding coverage and the claims process
• Provide sound claims advice at every customer interaction to create a legendary customer experience; look for ways to contribute to the on-going improvement of the overall customer experience
• Ensure customer problems are handled appropriately and escalating issues when necessary; refer customers to appropriate team members or internal partners as appropriate
• Demonstrate flexibility to be able to change activities based on customer and business needs
• Create a legendary customer experience at every interaction and look for ways to contribute to on-going improvement of the overall customer experience

SHAREHOLDER

• Prioritize and manage own workload to meet SLA requirements for service and productivity
• Consistently exercise discretion in managing correspondence, information and all matters of confidentiality; escalate issues where appropriate
• Be knowledgeable of practices and procedures within own area of responsibility and keep abreast of emerging trends for claims assessment and litigation
• Protect the interests of the organization – identify and manage risks, and escalate non-standard, high risk transactions / activities as necessary
• Contribute to business objectives for Operational Excellence
• Support the timely and accurate completion of business processes and procedures
• Ensure documentation that is prepared / completed is accurate and properly reflects client / business intentions and is consistent with relevant rules / regulations
• Identify, suggest and actively participate in process improvement opportunities
• Acquire and apply expertise in the discipline, provide guidance, assistance and direction to others
• Identify, recommend and effectively execute standard practices and procedures applicable to insurance claims
• Keep abreast of emerging issues, trends, and evolving regulatory requirements and assess potential impacts
• Maintain a culture of risk management and control, supported by effective processes in alignment with risk appetite
• Assume responsibility to minimize operational and regulatory risk by complying with Bank and industry Code of Conduct

EMPLOYEE / TEAM

• Participate fully as a member of the team, support a positive work environment that promotes service to the business, quality, innovation and teamwork and ensure timely communication of issues/ points of interest
• Support the team by continuously enhancing knowledge / expertise in own area and participate in knowledge transfer within the team and business unit
• Keep current on emerging trends/ developments and grow knowledge of the business, related tools and techniques
• Participate in personal performance management and development activities, including cross training within own team
• Keep others informed and up-to-date about the status / progress of projects and / or all relevant or useful information related to day-to-day activities
• Contribute to the success of the team by willingly assisting others in the completion and performance of work activities; provide training, coaching and/or guidance as appropriate.
• Contribute to a fair, positive and equitable environment that supports a diverse workforce
• Act as a brand champion for the business area/function and the bank, both internally and/or externally

Job Requirements
BREADTH & DEPTH

• Apply foundational level of knowledge to handle routine with minimum risk
• Handle some limited situations for Core Auto claims
• Has limited claim settlement authority and requires next level approval for claims in excess of their authority limit
• Complete work within specifically defined parameters with guidance /direction from management as necessary
• Leverage the Claims Resources Team to make file decisions on liability and assessment
• Intermediate level knowledge with some form of related training and/or related experience or skills; Industry accreditation and training generally required
• Typically reports into a Team Manager

EXPERIENCE & EDUCATION

• College/ University degree
• 2+ years relevant experience