laims Adjudicator US Healthcare NSA Project
1 week ago
Claims Adjudicator US Healthcare (NSA Project) | 1 Years | Mangalore | 3.5 LPA | Immediate Joiners
Job Description Claims Adjudicator (US Healthcare NSA Project)
We are seeking a detail-oriented and experienced Claims Adjudicator to join our No Surprises Act (NSA) project team. The ideal candidate will have a strong background in US healthcare claims adjudication with proven expertise in claims adjustments. Prior experience working on NSA-related initiatives will be a strong advantage.
Key Responsibilities:
- Review, analyze, and adjudicate healthcare claims in line with US healthcare regulations and payer policies.
- Manage complex claim adjustments, ensuring accuracy and compliance with regulatory guidelines.
- Collaborate with internal teams to ensure NSA compliance in claims processing.
- Identify and resolve discrepancies in claims data and documentation.
- Support audits and quality assurance processes for NSA claims.
- Stay updated on NSA regulations and their impact on claims adjudication.
Required Qualifications:
- 1 years of experience in US healthcare claims adjudication.
- Strong knowledge of claims adjustment processes and payer-provider contract terms.
- Familiarity with healthcare coding (ICD, CPT, HCPCS).
- Strong analytical and problem-solving skills.
- Good communication and documentation abilities.
Preferred Qualifications:
- Prior experience with NSA (No Surprises Act) projects or similar compliance initiatives.
- Hands-on experience with claims adjudication systems/tools.
Location: Mangalore
Experience: 1 Years
Salary: 3.5 LPA
Notice Period: Immediate Joiners Preferred
Contact: hidden_mobile | hidden_mobile | hidden_mobile
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