
US Healthcare Claims Manager
19 hours ago
About the Position
We are looking for a skilled professional to lead the process of claims adjudication for US healthcare clients.
Key Responsibilities
- Manage the claims adjudication process to ensure smooth and timely payment processing.
- Develop and implement effective processes to improve claims adjustments and coding accuracy (ICD, CPT, HCPCS).
- Collaborate with cross-functional teams to resolve complex claim issues and maintain strong communication with clients and internal teams.
- Provide detailed analytical reports to stakeholders on claims data and contribute to process improvements and cost reductions through innovative solutions.
Requirements
- 1-3 years of experience in claims adjudication or related field with a strong understanding of US healthcare regulations and industry standards.
- Proficiency in coding systems (ICD, CPT, HCPCS) and excellent analytical, problem-solving, and communication skills.
- Detailed-oriented with ability to multitask and work effectively in a fast-paced environment.
What We Offer
A dynamic work environment with opportunities for growth and professional development, collaborative team culture that values innovation and excellence, and competitive compensation package.
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