Healthcare Claims Specialist

We are seeking a Sr. Process Executive to lead our US healthcare claims process team.The ideal candidate will have 1-3 years of experience in claims adjudication, strong analytical skills, and excellent communication abilities.A background in coding (ICD, CPT, HCPCS) is highly desirable.This role requires attention to detail, effective collaboration, and...

Healthcare Claim Automation EngineerWe are seeking a highly skilled engineer to build, optimize and integrate OCR/NLP/ML models for healthcare claim automation. The ideal candidate will have strong skills in Python, FastAPI, ML frameworks and hands-on experience with OCR tools and NLP libraries.Key Responsibilities:Develop robust APIs using FastAPI for...

Transforming patient care through accurate and timely claims processing is our top priority.Job Title: Claims RepresentativeWe seek a skilled Health Insurance Claims Representative to join our team in delivering seamless claim experiences for patients.Key Responsibilities:Process and evaluate health insurance claims with precision, ensuring compliance with...

Job Opportunity: Data Scientist for Healthcare ClaimsJob OverviewWe are seeking a skilled Data Scientist with expertise in healthcare claims and provider data to join our team.Key Responsibilities:Extract, clean, and analyze large-scale claims and provider datasets.Develop and optimize SQL queries, stored procedures, and ETL scripts for data extraction and...

Job Title: Claims ProcessorAbout the Role:The Claims Processor plays a pivotal part in managing and processing cashless insurance claims with precision and speed, ensuring timely resolution for policyholders and seamless collaboration with insurance providers.This position involves verifying policy coverage, reviewing medical records, coordinating with...

We are seeking a highly organized and detail-oriented specialist to manage dental insurance claims accurately and in a timely manner.Prepare and submit dental insurance claims using dental practice management software (Dentrix, Open Dental, Eaglesoft).Post insurance payments and patient payments.Follow up on unpaid or denied claims.Communicate with dental...

Insurance Claim Resolution SpecialistResponsible for contacting insurance companies and patients to follow up on outstanding medical claims, ensuring accurate reimbursement and efficient revenue cycle management.This process involves navigating complex billing and coding rules, with AR specialists playing a critical role in denial management and...

Claims Specialist OpportunityWe are seeking experienced Claims Specialists to join our team in India for a 6-month contract-to-hire basis.Required Skills & Experience:4-6 years of experience as a Claims SpecialistExcellent experience with Gosu Scripting and configuration managementExperience with integrations on ClaimCenter moduleGuidewire ClaimCenter...

We are seeking an experienced Health Insurance Claims Manager to oversee the end-to-end claims process for customers. The ideal candidate will serve as the primary liaison between clients, insurers, TPAs, and healthcare providers to ensure claims are handled smoothly, accurately, and on time.">Key ResponsibilitiesManage the complete lifecycle of health...

Insurance Claim Specialist Position OverviewWe are seeking a skilled Insurance Claim Specialist to oversee the entire claims settlement process from submission to final resolution.The ideal candidate will have strong analytical and communication skills, with the ability to assess claims, investigate their validity, and ensure timely and fair...