Claims Specialist

Position: Claims - TL-TM-SMELocation: Kochi / PuneNight Shift - WFOHealthcare Operations leader with 6+ years of experience in U.S. payer-side healthcare operations across Medicare, Medicaid, Commercial, business, Claims Adjudication, Clean Claims ProcessingResponsible for keying,processing and/or adjusting healthclaims inaccordance with claims policies and proceduresGood understanding of the application of benefit contracts, pricing , processing,policies procedures, govt regs, coordination of benefits, & amp; healthcare terminology.Monitor team performance metrics including [AHT, claim resolution rate, patient satisfaction]. Coach, mentor, and develop staff through regular training and performance evaluations. Collaborate with clinical and operational teams to ensure alignment with healthcare regulations (e.g., HIPAA, Claims adjudication, Case Management).Share Cv on

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