
US Healthcare Claims Process Specialist
3 days ago
Job Overview:
We are seeking a seasoned professional to lead our US Healthcare Claims process.
This role requires a strong background in claims adjudication, coding, and adjustments. Experience with the No Surprises Act (NSA) project is highly valued.
The ideal candidate will be detail-oriented, possess excellent analytical skills, and have effective communication and collaboration abilities.
Main Responsibilities:
- Manage and optimize claims processing workflows
- Leverage expertise in ICD, CPT, and HCPCS coding
- Develop and implement processes for efficient claims adjustments
- Collaborate with cross-functional teams to drive business outcomes
Essential Qualifications:
- 1-3 years of experience in US healthcare claims adjudication
- Strong understanding of NSA and its implications
- Excellent analytical and problem-solving skills
- Effective communicator and team collaborator
PREFERRED SKILLS:
- Experience with claims software and technology
- Familiarity with industry regulations and compliance
About the Role:
This is an exciting opportunity to join a leading provider of innovative solutions in the healthcare industry.
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