We are seeking a Claims Adjudication Specialist to join our team in Andhra Pradesh. The ideal candidate will have a robust background in claims processing and adjudication within the US healthcare system, specifically utilizing the QNXT platform. This role is crucial in ensuring that claims are processed accurately and efficiently, adhering to all regulatory requirements and company policies.

Key Responsibilities:
Review and adjudicate claims in accordance with established guidelines and policies.
Utilize QNXT to manage claims processing workflows and ensure timely resolution of claims.
Collaborate with healthcare providers and internal teams to resolve discrepancies and ensure accurate claims processing.
Maintain up-to-date knowledge of US healthcare regulations and policies affecting claims adjudication.




Identify trends in claims processing and recommend improvements to enhance efficiency and accuracy.
Provide training and support to junior staff on claims processing and adjudication best practices.

Required Skills:
Proven experience in claims adjudication and processing within the US healthcare sector.
Proficiency in using QNXT for claims management.
Strong analytical skills and attention to detail.
Excellent communication and interpersonal skills to work effectively with various stakeholders.
Ability to work independently and manage multiple tasks in a quick-paced environment.

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

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