We are seeking a skilled Claims Adjudication Specialist to join our team in Andhra Pradesh. The ideal candidate will have a strong background in US healthcare and claims processing, with specific expertise in claims adjudication using systems such as Facets and QNXT. This role is critical in ensuring that claims are processed accurately and efficiently, adhering to industry standards and regulations.

Key Responsibilities:
Review and adjudicate healthcare claims in accordance with company policies and procedures.
Utilize Facets and QNXT systems to process claims and maintain accurate records.
Collaborate with healthcare providers and internal teams to resolve claim discrepancies and ensure timely payments.
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.
Provide training and support to junior staff members as needed.

Required Skills:
Robust knowledge of US healthcare systems and claims processing.
Proficiency in claims adjudication, particularly with Facets and QNXT.
Excellent analytical and problem-solving skills.
Strong attention to detail and accuracy in processing claims.
Ability to work collaboratively in a team environment.
Effective communication skills, both written and verbal.

If you are a dedicated skilled with a passion for healthcare and a commitment to excellence in claims processing, we encourage you to apply for this exciting chance.

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