Health Claim Specialist

Job Summary:We are seeking a highly skilled Health Claims Specialist to join our team.About the Role:Process and adjudicate health claims in a timely mannerAnalyze claim data to identify trends and areas for improvementCollaborate with internal teams to resolve claim discrepanciesRequirements:2+ years of experience in health claims processingStrong...

Health Claims Adjudication SpecialistWe are seeking a skilled Health Claims Adjudication Specialist to join our organization. The ideal candidate will have 1-3 years of experience in health claims adjudication and possess excellent computer skills, including data entry and word processing.The key responsibilities of this role include:Handling various...

Job Title: Health Claims ProcessorWe are seeking a detail- oriented and experienced Health Claims Processor to join our team. The ideal candidate will be responsible for accurately processing and adjudicating medical claims in accordance with company policies, industry regulation, and contractual agreements.Job Description:Review and analyze medical claims...

Claims Handler RoleAs a Claims Handler, you will play a vital role in ensuring the accuracy and efficiency of health insurance claims. This position requires attention to detail, excellent communication skills, and the ability to work independently.Key Responsibilities:Claims Processing: Evaluate health insurance claims with fairness and transparency,...

Job Title: Insurance Claims Management SpecialistWe are seeking an experienced professional to oversee the end-to-end claims process for our customers. This role requires strong knowledge of health insurance policies and procedures, as well as excellent communication and problem-solving skills.Key Responsibilities:Manage the complete lifecycle of health...

Medical Billing Specialist JobDescription Summary: A medical billing specialist is responsible for managing and analyzing medical claims to ensure accuracy and compliance with industry standards.Key Responsibilities:Process and analyze medical claims for errors or discrepanciesMaintain accurate records of claim processing and analysisPreferred...

Business Operations SpecialistWe are seeking a skilled Business Operations Specialist to join our team. As a Business Operations Specialist, you will play a critical role in driving operational improvements in claims systems by identifying business needs and supporting the testing and implementation phases.The ideal candidate will possess comprehensive...

Claims Resolution SpecialistWe are seeking a Claims Resolution Specialist to join our team. As a key member of our claims resolution team, you will be responsible for resolving denied and rejected claims in a timely and efficient manner.Responsibilities:Follow up with insurance providers to resolve claims disputesIdentify and address billing issues to...

">Claim Center QA Specialist">Our team is seeking a skilled QA Specialist to join our efforts in testing and quality assurance for Claim Center.",

Key Role in Medical Claims Management:AR Specialists initiate calls to insurance companies to clarify outstanding medical claims and ensure accurate reimbursement.Navigating Complex Billing Rules:AR specialists play a critical role in managing denied claims, requiring in-depth knowledge of billing and coding regulations.Effective Denial Resolution:They work...