US Healthcare-Claims Process

Key Role:• Manage healthcare claims adjudication process• Oversee claim adjustments, coding (ICD, CPT, HCPCS)• Collaborate on NSA project for US healthcare compliance• Utilize analytical skills for detail-oriented work• Communicate effectively with team members and stakeholdersWe are seeking a seasoned Sr. Process Executive to lead our US...

Experience a new challenge as a Sr. Process Executive in US Healthcare Claims!This role is ideal for those with 1–3 years of experience in claims adjudication, particularly in the US healthcare sector.We are looking for candidates with expertise in claims adjustments, coding (ICD, CPT, HCPCS), and a strong understanding of regulations such as NSA.In this...

Claims Adjudication Manager OpportunityWe are seeking an experienced claims adjudication professional to join our team in Mangalore.Claims adjustments, coding (ICD, CPT, HCPCS) expertise is essential.Experience with national service agreements projects is highly valued.Strong analytical and communication skills are required.As a Claims Adjudication Manager,...

Senior Process ExecutiveWe are seeking a highly analytical and problem-solving skilled professional to join our team in Mysore, India.Key Responsibilities:Active reading, writing, and questioning with an eye for detail to determine the root cause of issues.Develop and implement process improvements to enhance efficiency and quality.Collaborate with...

Key Role in Medical Claims ReimbursementTo ensure timely and accurate reimbursement, a specialist is needed to contact insurance companies and patients about outstanding medical claims. This vital position plays a significant role in the revenue cycle of healthcare providers.Detailed Communication: The specialist must maintain thorough records of...

Job OpportunityHealth Insurance Claims Professionals play a crucial role in ensuring seamless customer experiences. This position involves accurately evaluating and processing health insurance claims in a timely manner.Claim Processing: Process health insurance claims by accurately evaluating coverage, eligibility, and supporting documents.Verification and...

Job OpportunityWe are seeking a professional to validate healthcare EDI transactions using Facets, SQL, and US healthcare domain knowledge. This is an exciting opportunity for individuals with entrepreneurial spirits who want to make a difference in the world.The successful candidate will collaborate with colleagues from around the world to create solutions...

Healthcare Data and Operations SpecialistWe are seeking a skilled professional to join our team as a Healthcare Data and Operations Specialist.This role involves guiding teams, improving workflows, and ensuring compliance with healthcare standards. The ideal candidate will have strong background in healthcare operations and data management, hands-on...

Job Title: Medical Claim Resolution SpecialistWe are seeking a skilled and detail-oriented Medical Claim Resolution Specialist to join our team. In this role, you will be responsible for communicating with insurance companies and patients to resolve outstanding medical claims.Key Responsibilities:Contacting Insurance Companies: Initiate calls to insurance...

Job Title: Data Architect - Healthcare IntelligenceAbout the RoleWe are seeking a skilled Data Architect to lead the development of healthcare intelligence solutions. The ideal candidate will have expertise in designing and implementing data pipelines, integrating with various healthcare systems, and ensuring compliance with industry standards.Key...