Healthcare Claims Data Analyst

Are you ready to make a difference in the healthcare industry with data engineering?We're seeking a skilled Data Engineer to join our innovative team and contribute to AI/ML initiatives through advanced data preparation and management.This exciting role involves cleaning, rationalizing, normalizing, and integrating large healthcare datasets (claims, member,...

Job Opportunity:Senior Process Executive - US Healthcare (Claims) Job Description:We are seeking a highly skilled Senior Process Executive to join our team in the US healthcare claims process. As a key member of our operations team, you will be responsible for leading the development and implementation of claims adjudication processes. Required Skills and...

Business Analyst - Healthcare Domain Expert">Gather, analyze and document business requirements associated with HIPAA, CMS, NCQA and state-specific regulations to ensure system changes, processes and documentation remain compliant. Collaborate with compliance and legal teams during audits or regulatory updates.">Key Responsibilities:Analyze and configure...

Job Title:US Healthcare Claims Senior Process ExecutiveJob Description:As a seasoned process leader, you will be responsible for spearheading analytical and problem-solving initiatives to drive improvements in US Healthcare Claims. Your expertise in competitive environments and ability to work independently will be pivotal in resolving complex issues...

Job descriptionCompany Description Gyanindit Pvt. Ltd. is dedicated to empowering individuals and organizations through knowledge and expertise. With our motto "Encouraging Empowerment," we provide exceptional services that help you achieve your personal and professional goals. Our mission is to make a meaningful difference by offering guidance, resources,...

Job SummaryWe are seeking an experienced professional to lead the development of test data within our Claims domain. The ideal candidate will have a strong background in Facets and be able to drive discussions with clients.Key ResponsibilitiesLead the creation of test data within Facets in the Claims domainHost client calls and drive discussions to ensure...

Job Title: Claims Verification SpecialistAbout the JobWe are seeking a highly organized and detail-oriented individual to fill the role of Claims Verification Specialist. This position involves working in hospitals and other healthcare facilities to ensure accurate completion of insurance forms.In this capacity, you will be responsible for verifying client...

AR Caller Job Description We are seeking a skilled professional to handle oncology-related claims and resolve outstanding accounts receivable. Contact insurance companies to follow up on denied or underpaid oncology claims and take corrective actions.Review and analyze claim discrepancies, ensuring timely resolution of unpaid claims, resubmissions, and...

Insurance Claims Specialist PositionWe are seeking a skilled and compassionate insurance claims specialist to handle health insurance claims with accuracy and fairness.This individual will serve as the bridge between customers, hospitals, and insurers, ensuring smooth claim experiences.Process and evaluate health insurance claims with precision and...

About Our OpportunityWe are seeking skilled professionals to join our healthcare revenue cycle team as claims resolution specialists.Key Responsibilities:Make outbound calls to follow up on pending claims, reviewing denied or underpaid claims and taking appropriate action for resolution.Understand insurance guidelines, medical billing, and claims workflows...