US Healthcare Claims Process Jobs

Job Opportunity:We are seeking a highly analytical and skilled Senior Process Executive to join our organisation.Key Responsibilities:Active reading, writing, and questioning skills with an eye for detail to identify the root cause of issues.Analytical problem solvers who will understand issues, evaluate solutions, and collaborate with colleagues to resolve...

About the JobA Claims Management Specialist plays a pivotal role in ensuring timely and accurate processing of cashless insurance claims for policyholders.This position involves efficiently managing end-to-end cashless claims, verifying policy coverage, reviewing medical records, coordinating with insurers, and ensuring seamless communication with employees...

Freelance Data ScientistWe are seeking a skilled Freelance Data Scientist to leverage their analytical expertise and domain knowledge in the healthcare space.The ideal consultant will uncover insights, build predictive models, and support data-driven decision-making.Responsibilities:Data Analysis: Extract, clean, and analyze large-scale claims and provider...

About this opportunity:This role is ideal for individuals with an entrepreneurial mindset who want to make a difference in the world.Collaborate with colleagues from around the globe to develop innovative solutions for leading companies Help them become more agile, forward-thinking, and successful Be part of our success story.Main ResponsibilitiesValidate...

Job Summary:A Medical Claims Resolution Specialist is responsible for contacting insurance companies and patients to follow up on outstanding medical claims, ensuring accurate reimbursement by navigating complex billing and coding rules.Key Responsibilities:Follow-up and Resolution: Initiate calls to insurance companies to inquire about denied claims...

As a Medical Claims Resolution Specialist, you will play a vital role in ensuring accurate reimbursement for healthcare providers. Your responsibilities will include contacting insurance companies to follow up on outstanding medical claims and navigating complex billing and coding rules.Key Responsibilities:Follow-up and Resolution:You will initiate calls to...

Health Insurance Claims ManagerWe're seeking a skilled Health Insurance Claims Manager to oversee and manage the end-to-end claims process for customers. In this role, you will serve as the primary liaison between clients, insurers, third-party administrators (TPAs), and healthcare providers to ensure claims are handled smoothly, accurately, and on time.Key...

Job OverviewWe are seeking a skilled Billing & Claims Specialist to join our team. This role involves preparing and submitting dental insurance claims accurately and on time.The ideal candidate is detail-oriented, organized, and familiar with dental billing processes. Key responsibilities include:Preparing and submitting dental insurance claims for...

We are seeking a highly skilled professional to fill the role of a Billing & TPA Executive.Key ResponsibilitiesProcess in-patient and out-patient billing transactions with precision and accuracy.Facilitate seamless communication between insurance companies, Third Party Administrators (TPAs), and patients to ensure smooth cashless approvals and claims...

As an AR calling specialist, you play a vital role in communicating with insurance companies and patients to resolve outstanding medical claims.Key Responsibilities:Initiate follow-up calls to inquire about denied claims statuses.Maintain thorough records of all interactions and follow-up actions.Re-submit claims with corrected information or appeal...