US Healthcare – Claims Adjudication Process

Job Summary">We are seeking a seasoned Quality Assurance Specialist with expertise in US Healthcare claims adjudication.">Main Responsibilities">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...

Open Positions (US Healthcare – Claims Adjudication Process_Team Leader – OperationsQuality SpecialistSubject Matter Expert (SME)Quality Team LeaderProcess TrainerAssistant ManagerExperience : 4 Years into US Health careLocation : Coimbatore

4+ Yrs of experience in US Healthcare claims adjudication.Responsible for training new hires and existing employees on US Healthcare claims adjudication processes, systems, and compliance requirements.Can reach me @ Geetha)

Job DescriptionRole: Process Trainer US Healthcare ClaimsExperience: 4+ years in US Healthcare Claims AdjudicationJob Description:We are looking for a Process Trainer to deliver training for new hires and existing employees on US Healthcare claims adjudication processes, systems, and compliance requirements. The trainer will be responsible for designing...

Job Title: Senior Manager Healthcare Operations Job Description: The Senior Manager will lead a team of healthcare professionals responsible for processing member enrollments and adjudicating claims in compliance with US healthcare regulations, client-specific guidelines, and quality standards. The role ensures efficient workflow, team performance, process...

Job SummaryWe are seeking a skilled Process Trainer to deliver training for new hires and existing employees on US Healthcare claims adjudication processes, systems, and compliance requirements.Key Responsibilities:Conduct training on claims adjudication, systems, and compliance.Create training materials, SOPs, and assessments.Monitor learner progress and...

We are conducting a walk-in drive on 19th & 20th September from 11:30 AM to 4:00 PM at our Coimbatore location.Role: Process Trainer4+ Yrs of experience in US Healthcare claims adjudicationProcess Trainer will be responsible for training new hires and existing employees on US Healthcare claims adjudication processes, systems, and compliance requirements. The...

Claims and Denials Resolution SpecialistProcess adjudication claims and resolve for payment and denials in a timely and accurate manner.This role requires strong analytical skills, excellent communication skills, and the ability to work independently.Key Responsibilities:Process adjudication claims and resolve for payment and denialsKnowledge of healthcare...

Job SummaryWe are seeking a skilled professional with 2 to 4 years of experience in Claims Adjudication for the role of SPE-Claims HC. The ideal candidate will work from our office during night shifts focusing on ensuring accurate and efficient claims processing. Experience in Commercial Claims is a plus contributing to the enhancement of our claims...

Profile: Process TrainersExperience: 4+ Yrs of experience in US Healthcare claims adjudicationSkills Req:The Process Trainer will be responsible for training new hires and existing employees on US Healthcare claims adjudication processes, systems, and compliance requirements. The trainer will play a key role in ensuring associates are equipped with the...