Senior Manager Non RCM- 2 Openings @ R Systems

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Senior Manager Non RCM- 2 Openings

R Systems
10 - 13 years
Noida, Gurugram
6 months ago
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Job Description

As a Claim Adjudication Manager you are responsible for overseeing the review and processing of insurance claims to ensure they are accurate, compliant with policy terms, and resolved in a timely manner. This role is common in healthcare, insurance, and third-party administrator.

Role

Supervise claim adjudication staff to ensure claims are processed efficiently and accurately.
Review complex or escalated claims and make final decisions on approvals or denials.
Ensure compliance with regulatory and payer-specific guidelines (like Medicare, Medicaid, commercial insurers).
Monitor team performance using KPIs (turnaround time, accuracy rate, etc.).
Collaborate with medical coding, billing, provider relations, and legal teams as needed.
Handle audits, quality assurance, and process improvement initiatives.
Open for WFO/ Noida Extension Location/ Night shifts.

Please share CV at an*******a@rs*****s.com

Job Classification

Industry: BPM / BPO
Functional Area / Department: Healthcare & Life Sciences
Role Category: Healthcare & Life Sciences - Other
Role: Healthcare & Life Sciences - Other
Employement Type: Full time

Contact Details:

Company: R Systems
Location(s): Noida, Gurugram

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Keyskills: Insurance US Healthcare Claims Adjudication

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Preferred City (* max. 2 w/comma)

Designation / Expected Role

Current / Recent Company (*)

Experience (*)

Expected Salary (*)

Desired Industry (*):

Functional area / Department (*):

Enter Skills (key skills, subjects, technologies & roles to use in search)

Write briefly about yourself, your experience and education (*)

Attach ResumeMax 2.38 MB (RTF, PDF, DOC, DOCX formats only parsed)

Please, check the file size and type.

Add social media [ + ]

Create password

I agree with website service terms and conditions

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R Systems

Hanker Systems Inc. offers its clientele complete IT personnel solutions. We specialise in assisting companies set up excellent workplace solutions for their unique requirements. All sectors are becoming more technologically savvy; thus, it is our specialty to match the appropriate IT personnel to t...

Senior Manager Non RCM- 2 Openings @ R Systems

Home > Healthcare & Life Sciences - Other