We are seeking a Claims Adjudication Specialist to join our team in Andhra Pradesh. The ideal candidate will have a solid background in US healthcare and claims processing, with expertise in claims adjudication and familiarity with 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 regulatory requirements.
Utilize Facets and QNXT systems to manage claims processing and ensure accurate data entry.
Collaborate with healthcare providers and internal teams to resolve claims discrepancies and inquiries.
Analyze claims data to identify trends and areas for improvement in the adjudication process.




Maintain up-to-date knowledge of US healthcare regulations and best practices in claims processing.

Required Skills:
Solid understanding of US healthcare systems and claims adjudication processes.
Proficiency in using claims processing software, particularly Facets and QNXT.
Excellent analytical and problem-solving skills.
Strong attention to detail and ability to work under pressure.
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 opportunity.

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