US Healthcare Claims Specialist

Hiring for Sr. Process Executive – US Healthcare (Claims)Job Summary:We are seeking an experienced Sr. Process Executive to join our team in the US Healthcare Claims department.The successful candidate will have a strong background in claims adjudication and coding, with experience working with ICD, CPT, and HCPCS codes.This is an excellent opportunity for...

Job Title: Claims AdvocateRole OverviewWe are seeking a skilled Health Insurance Claims Specialist to support our team. In this capacity, you will serve as a liaison between customers, healthcare providers, and insurers, handling claims with accuracy, empathy, and efficiency.Key Responsibilities:Process and evaluate health insurance claims in a fair and...

Job SummaryWe are seeking a highly skilled Claims Specialist to join our team. The successful candidate will be responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers.Key Responsibilities Include:Managing end-to-end cashless...

Job Title: Automotive Warranty Claims SpecialistThe position of Automotive Warranty Claims Specialist is now available. This role plays a crucial part in ensuring the smooth operation of our warranty claims process.Responsibilities include:Verifying repair orders against dealership systems and preparing claims for submission.Accurately reviewing, coding, and...

Claim Center Configuration SpecialistWe are seeking a skilled Claim Center Configuration Specialist to configure, develop and maintain the Guidewire Claim Center. The successful candidate will be responsible for meeting business requirements, creating configuration artifacts, troubleshooting issues, collaborating with cross-functional teams, performing unit...

EDI TesterAbout this role:This position requires a meticulous individual to validate healthcare EDI transactions. The ideal candidate will possess hands-on experience with Facets, SQL, and US healthcare domain knowledge.Validating EDI transactions for accuracy and completeness.Maintaining records of transaction data for easy reference.Identifying and...

Healthcare Operations LeaderThis role plays a vital part in guiding teams, enhancing clinic efficiency, and ensuring compliance with healthcare regulations.Key Responsibilities:Manage comprehensive clinic workflows including front desk, administrative tasks, patient support, and schedulingTrain and assist staff on EHR/EMR systems (Epic, Cerner, etc.) –...

Job OverviewWe seek an experienced Health Insurance Claims Manager to oversee and manage the end-to-end claims process for our customers. As primary liaison between clients, insurers, TPAs, and healthcare providers, you will ensure claims are handled smoothly, accurately, and on time.The ideal candidate has a strong background in health insurance claims...

Insurance Claim Settlement Specialist Job OverviewThis role involves managing the entire claims settlement process from submission to final resolution, ensuring timely and fair settlements for insurance claimants.Assess claims and investigate their validity by analyzing data according to established SOPs.Coordinate with adjusters to ensure seamless...

Senior Revenue Cycle ManagerWe are seeking an experienced professional to lead and manage a new revenue cycle team. This role requires end-to-end knowledge of the US healthcare revenue cycle, including medical billing, coding, prior authorization, denial management, and insurance verification.Main ResponsibilitiesEstablish efficient processes and workflows...