Claims Process Management Specialist

Job Description:We are seeking a detail-driven professional to join our billing operations team as an Unbilled Claims Management Specialist.This role involves monitoring and managing unbilled claims to ensure timely submission and reimbursement, investigating root causes of unbilled claims, collaborating with pharmacy, intake, and billing teams, tracking and...

Job Opportunity: Claims Processing ExpertWe are seeking an experienced and detail-oriented individual to join our team as a Claims Processing Expert. In this role, you will be responsible for reviewing and processing claims data, identifying errors or inconsistencies, and providing expertise to support claims resolution.The ideal candidate will have a strong...

Job OverviewA Claims Tester is required to work on surety claims, QA, and claims workflow. The ideal candidate will have expertise in test case creation, agile methodologies, DevOps, and status reporting.Key ResponsibilitiesDesign and develop ETL processes to move data into a data warehouse or analytical database.Implement data cleansing techniques to ensure...

Job Title: Medical Claims SpecialistAs a Medical Claims Specialist, you will be responsible for handling healthcare-related processes such as medical billing, coding (ICD-10, CPT, HCPCS), and claims management.Responsibilities:Review and process healthcare data, including insurance claims, patient records, and medical documentation.Ensure compliance with...

Basic FunctionHandle and administer Family & Medical Leave Act standalone (as well as other leave) claims and adhere to federal andstate regulatory and/or company plan requirements and established FMLA workflow proceduresComplete eligibility decisions and review for entitlement, gather pertinent data when necessary, from employee, physicians office or...

Job Title: Claims SpecialistIn this role, you will have end-to-end knowledge of claim lifecycle management and P&C products. Your responsibilities include handling new transitions from strategic assessment through to operations set up with zero surprise delivery.Develop a comprehensive understanding of claim lifecycle managementEnsure seamless transition...

Transform your career in the exciting field of claims processingWe're seeking a highly skilled professional to join our team as a Management Trainee/ Domain Trainee. In this role, you will be responsible for handling end-to-end travel claim lifecycle, identifying duplicate or inappropriate claims, and taking necessary actions.The ideal candidate will have...

Claims Resolution SpecialistPrimary Responsibilities:Engage in outbound calls to insurance companies to follow up on outstanding claims.Understand and resolve claim denials or rejections to ensure timely payment.Verify patient insurance information and update accounts accordingly.Document call details, follow-up actions, and claim status for future...

Job Opportunity:Healthcare Claims SpecialistWe are seeking a detail-oriented and skilled individual to join our team as a Healthcare Claims Specialist. In this role, you will play a crucial part in managing and following up on outstanding healthcare claims to ensure timely collections.This position requires strong communication and negotiation skills to...

Job Title:We are seeking a skilled Claims Specialist to manage hospital billing denials and resolve customer issues effectively.About the Role:This is a remote work opportunity, where you will be working from home/office on night shifts.Responsibilities:Handle hospital billing denial management, claims follow-up and customer service with strong communication...