We are seeking a 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 system. This role is critical in ensuring that claims are processed accurately and efficiently, adhering to all regulatory requirements and company policies.

Key Responsibilities:
Review and adjudicate claims submitted by healthcare providers, ensuring compliance with relevant policies and regulations.
Utilize systems such as QNXT and Facets to manage claims processing and maintain accurate records.
Collaborate with healthcare providers to resolve any discrepancies or issues related to claims.
Analyze claims data to identify trends and areas for improvement in the adjudication process.
Provide training and support to junior staff on claims processing and adjudication best practices.




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

Required Skills:
Strong knowledge of claims processing and adjudication, particularly in the US healthcare sector.
Proficiency in using claims management systems, specifically QNXT and Facets.
Excellent analytical and problem-solving skills.
Robust communication skills to effectively interact with healthcare providers and internal teams.
Ability to work independently and manage multiple tasks in a quick-paced environment.

If you are a detail-oriented professional with a passion for healthcare and claims management, we encourage you to apply for this exciting chance.

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