US Healthcare Claims Adjudicator Immediate Joiners Mangalore White Horse Manpower Consultancy

1.0 - 6.0 years

2 - 3 Lacs

mangaluru

Work from Office

Review, analyze, adjudicate US healthcare claims in line with payer policies regulations Handle complex claims adjustments, ensuring compliance with guidelines Collaborate with cross-functional teams to ensure NSA compliance in claims processing Required Candidate profile Investigate and resolve discrepancies in claims data and documentation Support audit and quality assurance functions related to claims Stay updated with NSA regulations healthcare compliance standards Perks and benefits Perks and Benefits

Posted 16 hours ago

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Infosys BPM is Hiring For US Healthcare Claims at Mangalore Infosys BPM

1.0 - 3.0 years

0 - 3 Lacs

mangaluru

Work from Office

Greetings from Infosys BPM Ltd., We are hiring for US Healthcare Claims at Mangalore. Please find below Job Description for your reference: Job Location : Mangalore Qualification : Any Graduate Experience : 1-3 Years Shift : US Shift (WFO - Mandatory) Employment Type: Full-Time. Mandatory Requirements: Should be able to work in US Shifts Must have 1 year experience in US Healthcare Claims Process Must be able to work from office ( Mangalore Location) Must Excellent communication in English ( Speak & Write) Responsibilities: We are seeking a detail-oriented and experienced Claims Adjudicator to join our NSA (No Surprises Act) project team. The ideal candidate will have a strong background in US healthcare claims processing, with specific expertise in claims adjustments. Prior experience working on NSA-related initiatives will be considered a strong advantage. Key Responsibilities: Review, analyze, and adjudicate healthcare claims in compliance with US healthcare regulations and payer policies. Handle complex claim adjustments, ensuring accuracy and adherence to contractual and regulatory guidelines. Collaborate with cross-functional teams to ensure NSA compliance in claims processing. Identify and resolve discrepancies in claims data and documentation. Support audit and quality assurance processes related to NSA claims. Maintain up-to-date knowledge of NSA regulations and their impact on claims adjudication. Required Qualifications: Minimum 1 years of experience in the US healthcare domain, specifically in claims adjudication. Strong understanding of claims adjustment processes and payer-provider contract terms. Familiarity with healthcare coding standards (ICD, CPT, HCPCS). Excellent analytical and problem-solving skills. Effective communication and documentation abilities. Preferred Qualifications: Prior experience working on NSA (No Surprises Act) projects or similar regulatory initiatives. Experience with claims adjudication systems and tools If interested, please share your Updated Resume with below details to cs.elakiyadhevi@infosys.com Name: Email & Mobile Number: Graduation: Date Of Birth: Post-Graduation: (If applicable): Total experience: Relevant experience: Current/Previous Company name: Current CTC: Expected CTC: Notice period: Current location: Thanks & Regards, Talent Acquisition Team Infosys BPM Ltd

Posted 4 days ago

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