Quality Analyst
5 days ago
Responsibilities
* Conduct thorough claims adjudication, processing, and review to ensure accuracy and compliance with regulatory requirements.
* Manage claims from receipt to resolution, ensuring timely and efficient processing.
* Collaborate with internal stakeholders to resolve complex claims issues and improve overall quality of service.
* Maintain accurate records and reports on claims processing metrics.
Job Requirements
* 4-10 years of experience in US healthcare claims handling, adjudication, or management.
* Strong understanding of US healthcare regulations (e.g., HIPAA) and industry standards (e.g., ICD-10).
* Proficiency in claims processing software applications (e.g., Epic Systems) or willingness to learn new systems quickly.
Interested candidate can share updated resume to
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