Healthcare Adjudication Expert
4 days ago
At Nextcare, we believe that everyone deserves access to high-quality healthcare and insurance services. We are dedicated to providing innovative solutions, expert care, and personalized support to our customers and clients.
Key Responsibilities- Adjudicate cases and authorize decisions within the stipulated turnaround time
- Review claims accurately and efficiently, applying knowledge of CPT and ICD codes
- Collaborate with internal stakeholders to ensure seamless claim processing
- Contribute to the development of clinical decision support tools
- Bachelor's degree in Medicine (MBBS) or Nursing
- 1-2 years of medical experience in a reputable insurance provider, broker, or TPA
- Knowledge of insurance industry practices and regulations
We offer a range of career opportunities, from entry-level positions to leadership roles. Our employees enjoy a supportive work environment, with access to training programs, mentorship, and networking opportunities.
We are committed to fostering a culture of diversity, equity, and inclusion, and we welcome applications from candidates who share our values and vision.
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