laims Adjudicator US Healthcare NSA Project

Claims Adjudicator US Healthcare (NSA Project) | 1+ Years | Mangalore | 3.5 LPA | Immediate Joiners

detail-oriented and experienced Claims Adjudicator

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:

 Contact: 9620333433 | 8884572014 | 9739002621