US Healthcare Claims Process Specialist

3 days ago


Vadodara, Gujarat, India beBeeClaims Full time ₹ 2,50,000 - ₹ 3,50,000

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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