We are seeking a Claims Adjudication Specialist to join our team in Andhra Pradesh. The ideal candidate will have a robust background in the US healthcare system and experience in claims processing and adjudication. This role is critical in ensuring that claims are accurately processed and adjudicated in accordance with company policies and regulatory requirements.

Key Responsibilities:
Review and analyze claims submitted by healthcare providers to ensure compliance with company policies and regulations.
Utilize QNXT software to process and adjudicate claims efficiently.
Collaborate with internal teams to resolve discrepancies and ensure timely payment of claims.
Maintain accurate records of claims processing activities and prepare reports as needed.




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

Required Skills:
Proficiency in QNXT software.
Strong understanding of the US healthcare system.
Experience in claims processing and adjudication.
Excellent analytical and problem-solving skills.
Robust attention to detail and ability to work independently.

If you are passionate about healthcare and have the necessary skills and experience, we encourage you to apply for this exciting prospect.

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