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

Key Responsibilities:
Review and adjudicate healthcare claims in accordance with established guidelines and policies.
Analyze claims data to identify discrepancies and ensure compliance with regulatory standards.
Collaborate with healthcare providers and internal teams to resolve claims issues and inquiries.
Utilize QNXT software for claims processing and management, ensuring timely and accurate claim resolution.
Maintain detailed records of claims adjudication processes and outcomes.




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

Required Skills:
Proven experience in claims adjudication and processing, particularly in the US healthcare industry.
Proficiency in using QNXT or similar claims management software.
Solid analytical skills with attention to detail.
Excellent communication and interpersonal skills to effectively collaborate with various stakeholders.
Ability to work independently and manage multiple tasks in a fast-paced setting.

If you are passionate about healthcare and have the necessary experience in claims adjudication, we encourage you to apply for this exciting prospect to contribute to our mission of providing quality healthcare services.

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