Healthcare Claims Examiner

Senior Medical Coding Auditor SIUDeveloping expertise in assessing trends and patterns in fraudulent healthcare claims requires deep knowledge of medical coding guidelines. The professional conducts thorough investigations into allegations of fraudulent and abusive practices.Key Responsibilities:Advances the organization's expertise in CPT HCPCS and ICD-10...

Senior Claims Examiner RoleThis role involves claims adjudication and adjustment, focusing on professional (HCFA) and institutional (UB) claims. The ideal candidate will have 2-3 years of experience in handling authorization, COB, duplicate and pricing processes. They should also be knowledgeable about healthcare insurance policy concepts, including...

Job Opportunity:">This position is perfect for individuals who are enthusiastic about delivering exceptional business solutions that support the healthcare claim function. You will leverage your knowledge of processes and systems to receive, edit, price, adjudicate, and process payments for claims.">">The ideal candidate will be responsible for handling a...

We are seeking a seasoned specialist to join our team in oncology billing and collections. This role requires expertise in claim resolutions while ensuring compliance with industry standards.Establish effective communication channels with insurance companies to follow up on oncology-related claims and resolve outstanding accounts receivable.Conduct thorough...

Key Role in Medical Claims Management:AR Specialists initiate calls to insurance companies to clarify outstanding medical claims and ensure accurate reimbursement.Navigating Complex Billing Rules:AR specialists play a critical role in managing denied claims, requiring in-depth knowledge of billing and coding regulations.Effective Denial Resolution:They work...

Job Summary:We are seeking a highly skilled Health Claims Specialist to join our team.About the Role:Process and adjudicate health claims in a timely mannerAnalyze claim data to identify trends and areas for improvementCollaborate with internal teams to resolve claim discrepanciesRequirements:2+ years of experience in health claims processingStrong...

We are seeking an experienced professional to join our team as a US Healthcare Specialist. This is a voice-only role that requires excellent communication skills and a strong background in denial management.Key ResponsibilitiesReview work orders and follow up with insurance carriers to check the status of outstanding claims.Analyze claims in cases of...

We are seeking to recruit experienced Denial Management specialists for our medical billing operations in the US Healthcare Industry. This is an international voice-only role that requires individuals with excellent communication skills and a strong background in managing claim rejections.Roles and ResponsibilitiesThoroughly review work orders to ensure all...

Urgent Requirement AR Caller US Healthcare Process Location/: Chennai Experience/: 0 to 2 years Qualification/: Any degree Salary/: Above 18k per month Job Description/: We are looking for a dedicated AR Caller to join our medical billing team. The role involves contacting insurance companies to follow up on outstanding claims, resolving claim issues, and...

Job DescriptionRoles and Responsibilities:- Should have experience in handling US Healthcare Medical Billing.- To work closely with the team leader.- Ensure that the deliverables to the client adhere to the quality standards.- Responsible for working on denials, prior authorization, eligibility verification, rejections, making required corrections to...