Quality specialist

Role : Specialist – Quality (US Healthcare Claims)

Experience : 4+ years in US Healthcare Claims Adjudication

Qualification : Any Graduate

Job Description :

We are hiring a Quality Specialist with expertise in US Healthcare claims adjudication . The role involves conducting audits, ensuring compliance, identifying errors, and driving process improvements using quality tools and methodologies.

Key Responsibilities :

• Perform quality audits for healthcare claims processing.
• Ensure compliance with client and regulatory requirements (HIPAA, CMS).
• Apply 7 QC tools, RCA, CAPA, and Six Sigma for error reduction.
• Prepare reports and share feedback with operations teams.
• Support process improvement initiatives to enhance accuracy and efficiency.

Mandatory Skills :

Location : [Coimbatore]

Shift : [Rotational Shift]

If interested candidates send resume to [HIDDEN TEXT]

WhatsApp : 9042296456

Skills Required

(HIPAA, CMS).