We are seeking a dedicated Claims Adjudication Specialist to join our team in Andhra Pradesh. The ideal candidate will have a solid background in claims processing and adjudication within the US healthcare system, particularly with experience using QNXT software. This role is crucial in ensuring that claims are processed accurately and efficiently, contributing to the overall success of our healthcare operations.

Key Responsibilities:
Review and adjudicate claims in accordance with company policies and procedures.
Ensure compliance with regulatory requirements and industry standards in claims processing.
Utilize QNXT software to manage and process claims effectively.
Collaborate with customer care teams to address inquiries and resolve issues related to claims.
Maintain accurate records of claims processed and provide reports as needed.




Stay updated on changes in healthcare regulations and claims processing best practices.

Required Skills:
Proven experience in claims adjudication and processing, particularly in the US healthcare sector.
Familiarity with QNXT software is essential.
Robust customer care skills with the ability to communicate effectively with clients and stakeholders.
Detail-oriented with excellent analytical skills to assess claims accurately.
Ability to work independently and as part of a team in a fast-paced workplace.

If you are passionate about healthcare and have the necessary experience in claims adjudication, we encourage you to apply for this exciting prospect to make a difference in the lives of our clients.

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