Back Office Operations - US Healthcare

Hexaware Technologies; Navi Mumbai; On-site; INR 300,000 - 420,000; Full time

Job summary

Hexaware Technologies is seeking a Claims Adjudication Specialist in Navi Mumbai to review and process healthcare claims on the payer side. The role emphasizes accurate adjudication, compliance with industry regulations, and clear communication with internal teams.

The ideal candidate is a Graduate with exposure to US Healthcare Operations and claims processing. Freshers are welcome, and the position is night shift, offering an opportunity to launch a career in healthcare claims management

Qualifications

• Graduate candidates with exposure to US Healthcare Operations and familiarity with claims processing, adjudication, and eligibility checks.
• Attention to detail and strong analytical abilities are essential for accurate adjudication and timely resolution.

Responsibilities

• Review and process healthcare claims on the payer side.
• Ensure accurate and timely adjudication of claims while maintaining compliance with regulations and policies.
• Communicate effectively with stakeholders to resolve issues and support claim resolution.

Skills

US Healthcare Operations

Claims Processing

Claims Adjudication

Eligibility Verification

Education

Graduate degree

Job description

Role & responsibilities

The Claims Adjudication Specialist will be responsible for reviewing and processing healthcare claims on the payer side. This role requires an understanding of healthcare claims processing, strong analytical skills, and effective communication abilities. The specialist will ensure accurate and timely adjudication of claims while maintaining compliance with industry regulations and company policies. This position is ideal for individuals looking to start or further their careers in healthcare claims management with opportunities to learn and grow in a dynamic environment.

Preferred candidate profile

Looking for Graduate candidates. Experience in US Healthcare Operations with exposure to Claims Processing, Claims Adjudication, Eligibility Verification.

Freshers are also welcome.

Shift Details- Night Shift

Contact Person: Adya Joshi
Contact Number: 9209952012