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laims Adjudicator US Healthcare NSA Project

Fresher   Mangalore   28 Sep, 2025
WHITE HORSE MANPOWER CONSULTANCY (P) LTD
Job LocationMangalore
EducationNot Mentioned
SalaryNot Disclosed
IndustryMedical / Healthcare
Functional AreaIT Operations / EDP / MIS
EmploymentTypeFull-time

Job Description

    Claims Adjudicator US Healthcare (NSA Project) | 1 Years | Mangalore | 3.5 LPA | Immediate JoinersJob Description Claims Adjudicator (US Healthcare NSA Project)We are seeking adetail-oriented and experienced Claims Adjudicatorto join ourNo Surprises Act (NSA) project team. The ideal candidate will have a strong background inUS healthcare claims adjudicationwith proven expertise inclaims adjustments. Prior experience working onNSA-related initiativeswill be a strong advantage.Key Responsibilities:
    • Review, analyze, and adjudicate healthcare claims in line withUS healthcare regulationsandpayer policies.
    • Manage complexclaim adjustments, ensuring accuracy and compliance with regulatory guidelines.
    • Collaborate with internal teams to ensureNSA compliancein claims processing.
    • Identify and resolve discrepancies inclaims dataand documentation.
    • Supportaudits and quality assurance processesfor NSA claims.
    • Stay updated onNSA regulationsand their impact on claims adjudication.
    Required Qualifications:
    • 1 yearsof experience inUS healthcare claims adjudication.
    • Strong knowledge ofclaims adjustment processesandpayer-provider contract terms.
    • Familiarity with healthcare coding (ICD, CPT, HCPCS).
    • Stronganalytical and problem-solvingskills.
    • Good communication and documentation abilities.
    Preferred Qualifications:
    • Prior experience withNSA (No Surprises Act) projectsor similar compliance initiatives.
    • Hands-on experience withclaims adjudication systems/tools.
    Location:Mangalore Experience:1 Years Salary:3.5 LPA Notice Period:Immediate Joiners PreferredContact: hidden_mobile | hidden_mobile | hidden_mobile

Keyskills :
claims resolutionicdcptclaims processingus healthcare claims adjudicatorclaims adjustmentno surprises actnsa compliancepayer-provider contracts

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