Medical Claims Examiner

Insurance Claims Examiner PositionWe are seeking an experienced Insurance Claims Examiner to support our US insurance process.Evaluate and process insurance claims while ensuring compliance with industry standards.Key Responsibilities:Review and process insurance claims and related documentation.Conduct claims assessments, ensuring accuracy and...

Primary Responsibilities:Achievement of individual productivity and quality standards Contribute to working on Volumes when required and asked by the Management or Stakeholder Examining and identifying overpayments in claims, securing savings through recovery, and communicating effectively (in both written and spoken forms) to confirm and retrieve...

Company DescriptionCREDENSE is dedicated to maximizing financial returns for healthcare organizations through transparent, dependable, and responsive services. Our expertise is solely focused on revenue cycle management to optimize operations and revenue. With a skilled team of billers, coders, and A/R specialists, we ensure top-quality medical billing and...

Job OpportunityWe are seeking highly skilled professionals to join our team in a key role of reviewing and denying medical claims that do not meet our criteria.Key Responsibilities:Minimum 3+ years of experience in relevant fields is required.Certification is mandatory for this position.Excellent knowledge of medical coding terminology and work processes is...

Job Title:Title Examiner PositionWe seek a skilled Title Examiner to conduct second-level reviews of title searches and examinations.Verify proper name runs, title chain, and conveyance history for accuracy and continuity.Detect and correct missed documents, unreleased liens, open mortgages, and outstanding judgments.Evaluate examiner output to prevent...

**Job Title:**   As a seasoned healthcare professional, you will be responsible for conducting thorough reviews of medical records and claims to ensure accuracy and compliance with contractual agreements.  Key Responsibilities include:Reviewing itemized bills and supporting documentation for completeness and accuracy.Verifying that billed services are...

Job Title: Claims Review SpecialistWe are seeking a skilled Claims Review Specialist to join our team. As an integral part of our organization, you will play a vital role in reviewing and analyzing medical claims to ensure accuracy and compliance with payer guidelines.Your key responsibilities will include reviewing itemized bills and claims for accuracy and...

Hiring Fresh Pharmacy and Life Science Nursing Graduates Medical and Para Medical For Claims AssociateFreshers OnlyApplicants should have good knowledge in Medical Coding Anatomy and Medical Terminology. Required Candidate profileCandidates Should have good knowledge in Medical Coding ICD 10, Anatomy Medical terminologyCandidates with Excellent...

TPA / Health Insurance Exp. is preferredAssessment of Health Claims Assessment of Treatment & Medication given in the papers sent for claim Cost optimizationApproval of Claims for ProcessingMBBS , BHMS & BAMS Doctors only

Greetings From Scorelabs Inc Validate medical necessity and check eligibility Ensure accurate claim coding for inpatient, outpatient, and day-care procedures. Should Have Exp In 1-4 years of in claims Required Candidate profileHandle claim resubmissions, rejections, and audits from insurance providers. Collaborate with physicians, billing teams, and...