Executive

Key Responsibilities

• Review and process data adjustment requests in accordance with client guidelines and US healthcare regulations.
• Validate details, identify discrepancies, and apply appropriate adjustments.
• Ensure compliance with HIPAA and other regulatory requirements.
• Communicate effectively with internal teams to resolve claim-related issues.
• Maintain accurate documentation and update systems with adjustment details.
• Meet daily/weekly productivity and quality targets.
• Identify process improvement opportunities and escalate complex cases as needed.