Quality Specialistn

4 days ago

Bengaluru, Karnataka, India Aegan Technologies Private Limited Full time ₹ 5,00,000 - ₹ 12,00,000 per year

Job Title: Quality Specialist - Non Voice (US Healthcare Claims)

Experience: 4+ years in US Healthcare Claims Adjudication

Qualification: Any Graduate

Job Description:

We are hiring a Quality Specialist with expertise in US Healthcare claims adjudication. The role involves conducting audits, ensuring compliance, identifying errors, and driving process improvements using quality tools and methodologies.

Key Responsibilities:

  • Perform quality audits for healthcare claims processing.
  • Ensure compliance with client and regulatory requirements (HIPAA, CMS).
  • Apply 7 QC tools, RCA, CAPA, and Six Sigma for error reduction.
  • Prepare reports and share feedback with operations teams.
  • Support process improvement initiatives to enhance accuracy and efficiency.

Mandatory Skills:

  • US Healthcare claims adjudication knowledge.
  • Quality audit and compliance expertise.
  • Strong analytical and problem-solving skills.
  • Good communication and documentation abilities.

Location: [Bengaluru]

If interested candidates send resume to -

WhatsApp:

Job Type: Full-time

Work Location: In person