Healthcare Claims Auditing Specialist

2 days ago


Coimbatore, Tamil Nadu, India beBeeQuality Full time ₹ 8,00,000 - ₹ 15,00,000

Job Summary

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  • We are seeking a seasoned Quality Assurance Specialist with expertise in US Healthcare claims adjudication.
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Main Responsibilities

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  • Perform quality audits for healthcare claims processing to ensure accuracy and compliance.
  • Conduct RCA, CAPA, and Six Sigma analysis to identify areas for improvement.
  • Develop and implement process improvements to enhance efficiency and accuracy.
  • Maintain thorough records and provide feedback to operations teams.
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Key Qualifications

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  • Demonstrated knowledge of US Healthcare claims adjudication processes.
  • Strong analytical and problem-solving skills.
  • Excellent communication and documentation abilities.
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Location

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Coimbatore, IN

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