Claims Process Executive

Job Title: Process Authorization Executive US HealthcareAbout the Role:We are seeking a skilled and detail-oriented individual to fill the position of Process Authorization Executive. In this role, you will serve as a crucial gatekeeper in our revenue cycle, ensuring the accuracy and compliance of our claims before they are sent.Key Responsibilities:Review...

Key Responsibilities:Analyzing and documenting detailed business and functional requirements related to insurance claims processes is essential for ensuring operational efficiency.The successful candidate will drive operational improvements in claims systems by identifying business needs and supporting the testing and implementation phases.Closely...

Job Description:A seasoned Claims Specialist is needed to drive business process improvements in claims systems by identifying operational needs and supporting the testing and implementation phases.Key Responsibilities:Analyze and document detailed business requirements related to insurance claims processes, ensuring seamless integration with existing...

Job Description:We are seeking a detail- oriented and experienced Health Claims Specialist 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. The Health Claims Specialist will play a crucial role in ensuring...

Job Description:We are seeking a detail- oriented and experienced Health Claims Specialist 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. The Health Claims Specialist will play a crucial role in ensuring...

Health Claims Specialist Job DescriptionWe are seeking a detail-oriented and experienced professional to join our team as a Health Claims Specialist.The ideal candidate will be responsible for accurately processing and adjudicating medical claims in accordance with industry regulation, contractual agreements, and company policies.Key Responsibilities:Review...

Role & responsibilities:Review incoming claims for accuracy, completeness, and eligibility under policy coverage.Verify customer details, policy information, and supporting documentation.Visiting loss site, provide inputs on loss minimization.Maintaining Claims MIS Sheet.Assess claims against policy terms and identify discrepancies or missing...

Claims ProfessionalAbout this role:We are seeking a skilled Claims Professional to join our team. The ideal candidate will have experience in end-to-end claims analysis, verification of policy and claims documents, claims setup and payment processing, and correspondence with involved claim parties.The successful candidate will also have strong analytical and...

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Job Title: Claims Resolution SpecialistAs a Claims Resolution Specialist, you will serve as the primary contact for all delinquent accounts, proactively contacting insurance firms to inquire about the status of a large number of unpaid claims. Your key responsibilities include denial management, account reconciliation, and data-driven insights.Required...