We are seeking a Claims Adjudication Specialist to join our dynamic team in Andhra Pradesh. The ideal candidate will have a robust background in claims adjudication within the healthcare sector, particularly in US healthcare systems. This role is crucial for ensuring that claims are processed accurately and efficiently, adhering to all regulatory and compliance standards.

Key Responsibilities:
Review and adjudicate healthcare claims to ensure accuracy and compliance with policies and regulations.
Utilize systems such as Facets and QNXT to manage claims processing and maintain accurate records.
Collaborate with healthcare providers and internal teams to resolve discrepancies and ensure timely payment of claims.
Analyze claims data to identify trends and areas for improvement in the adjudication process.




Stay updated on changes in healthcare regulations and policies that may impact claims processing.

Required Skills:
Proven experience in claims adjudication, with a strong understanding of healthcare processes.
Familiarity with Facets and QNXT systems is highly desirable.
Knowledge of US healthcare regulations and compliance standards.
Robust analytical skills and attention to detail.
Excellent communication and interpersonal skills to work effectively with various stakeholders.

If you are passionate about healthcare and have the necessary skills and experience, we encourage you to apply for this exciting chance to make a difference in the claims adjudication process.

📌 Claims Adjudication Specialist Hyderabad (India)
🏢 CONVERSE PLACEMENT SERVICES INDIA PRIVATE
📍 India