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laims Adjudicator US Healthcare NSA Project @ White Horse Manpower

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 laims Adjudicator US Healthcare NSA Project

Job Description

    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

Employement Category:

Employement Type: Full time
Industry: Medical / Healthcare
Role Category: IT Operations / EDP / MIS
Functional Area: Not Specified
Role/Responsibilies: laims Adjudicator US Healthcare NSA Project

Contact Details:

Company: White Horse Manpower
Location(s): Mangalore

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Keyskills:   claims resolution icd cpt claims processing

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White Horse Manpower

White Horse Manpower Consultancy Private Limited Recruitment Company with more than 15 Plus International BPOs in the consultancy giving SPOT OFFER Letters Walkin with 2-3 Resumes from Monday 2 Saturday 10am to 6pm call Niki 9886747291,9342431048,9886188040 Free Recruitment no charges Niki ...