Claims Manager

Claims Management Leader\This is an exciting opportunity to lead and oversee a team of claims professionals in a fast-paced insurance environment. As Claims Management Leader, you will be responsible for ensuring smooth and efficient claims processing across cashless and reimbursement cases.\You will have strong expertise in handling Employee Benefits (EB)...

Job Overview:">The role of Claims Manager involves analyzing and processing claims in coordination with third-party administrators (TPAs) and insurance companies. This position requires effective leadership and communication skills to manage relations with TPAs/Insurers, ensure timely claim settlements, and provide excellent client experience."

Senior Claims Examiner RoleThis role involves claims adjudication and adjustment, focusing on professional (HCFA) and institutional (UB) claims. The ideal candidate will have 2-3 years of experience in handling authorization, COB, duplicate and pricing processes. They should also be knowledgeable about healthcare insurance policy concepts, including...

Job Summary:We are seeking an accomplished Senior Manager - Claims professional to lead and oversee the Employee Benefits claims team. The ideal candidate will possess strong stakeholder management skills, in-depth knowledge of health insurance processes, and regulatory frameworks.

We are seeking a seasoned specialist to join our team in oncology billing and collections. This role requires expertise in claim resolutions while ensuring compliance with industry standards.Establish effective communication channels with insurance companies to follow up on oncology-related claims and resolve outstanding accounts receivable.Conduct thorough...

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...

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...

Job SummaryWe are seeking a skilled and experienced professional to fill the role of Senior Claims Operations Associate. This individual will be responsible for managing claims processes, ensuring timely and qualitative resolutions, and meeting production and quality goals.Process insurance claims efficiently and effectively, adhering to company policies and...

We are seeking to recruit experienced Denial Management specialists for our medical billing operations in the US Healthcare Industry. This is an international voice-only role that requires individuals with excellent communication skills and a strong background in managing claim rejections.Roles and ResponsibilitiesThoroughly review work orders to ensure all...

Job PurposeThe Medical Claims Analyst is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.Duties and ResponsibilitiesFollow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websitesMeets and maintains daily productivity/quality standards established...