Quality Analyst

2 days ago


Indore, Madhya Pradesh, India Golden Opportunities Full time ₹ 8,00,000 - ₹ 24,00,000 per year

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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