24 Oct
|
WSNE Consulting
|
Hyderabad
24 Oct
WSNE Consulting
Hyderabad
Role & responsibilities
- Manage US Healthcare claims processing using Facets/QNXT, ensuring accurate and timely adjudication of claims as per client guidelines.
- Handle member enrollment, eligibility, perks, and provider-related transactions, resolving discrepancies and maintaining data accuracy.
- Analyze and resolve claims/processing issues by reviewing system data, identifying errors, and applying appropriate corrections within defined TAT.
- Perform end-to-end healthcare operations including claims, billing, benefits, authorizations, and other payer processes while maintaining quality and compliance.
- Coordinate with internal teams and stakeholders to resolve complex cases, meet SLA/KPI targets, and support process improvements in US Healthcare operations.
📌 US Healthcare (Hyderabad)
🏢 WSNE Consulting
📍 Hyderabad