Hiring For Healthcare Claims

2 hours ago

Bengaluru, Karnataka, India Firstsource Full time ₹ 9,00,000 - ₹ 12,00,000 per year

Hiring for US Health care Claims Adjudication Associate

Need immediate joiners only

Job Summary:

We are looking for candidates with hands-on experience in healthcare claims adjudication. The ideal candidate should have a strong background in reviewing, analyzing, and processing medical and hospital claims with accuracy and compliance to organizational guidelines

.

Key Responsibilities:

  • Review, verify, and adjudicate healthcare claims (professional and facility).
  • Ensure claims are processed accurately as per policy guidelines and benefit coverage.
  • Analyze medical documentation, invoices, and coding to validate claim submissions.
  • Identify discrepancies, incomplete information, or potential fraud indicators.
  • Maintain service-level timelines and quality standards.
  • Coordinate with internal teams for claim clarifications or escalations.
  • Document all actions taken during claims review and maintain proper records.

Required Experience & Skills:

  • Healthcare claims background is mandatory.
  • Experience in hospitality (hospital operations) and medical claims handling.
  • Hands-on experience in professional (physician) and facility (hospital) claims processing.
  • Knowledge of medical terminology, billing, and coding (ICD, CPT, HCPCS preferred).
  • Strong analytical skills and attention to detail.
  • Good communication and documentation skills.

Qualifications:

  • Graduate in any discipline (Healthcare or Life Sciences preferred).
  • 14 years of experience in healthcare claims adjudication.

Disclaimer: Firstsource follows a fair, transparent, and merit-based hiring process. We never ask for money at any stage. Beware of fraudulent offers and always verify through our official channels or email addresses.

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