Quality Specialist

3 weeks ago

Bengaluru, India Aegan Technologies Private Limited Full time

Job Description Job Title: Quality Specialist - Voice & Non Voice (US Healthcare Claims) Experience: 4+ years in US Healthcare Claims Adjudication Qualification: Any Graduate Job Description: We are hiring a Quality Specialist with expertise in US Healthcare claims adjudication. The role involves conducting audits, ensuring compliance, identifying errors, and driving process improvements using quality tools and methodologies. Key Responsibilities: - Perform quality audits for healthcare claims processing. - Ensure compliance with client and regulatory requirements (HIPAA, CMS). - Apply 7 QC tools, RCA, CAPA, and Six Sigma for error reduction. - Prepare reports and share feedback with operations teams. - Support process improvement initiatives to enhance accuracy and efficiency. Mandatory Skills: - US Healthcare claims adjudication knowledge. - Quality audit and compliance expertise. - Strong analytical and problem-solving skills. - Good communication and documentation abilities. Location: [Bengaluru] If interested candidates send resume to [Confidential Information] WhatsApp: 9789000298

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