Medical Claims Review Specialist

Medical Claims Specialist Job DescriptionWe are seeking a skilled Medical Claims Specialist to join our team at EXL. The ideal candidate will have excellent medical knowledge, including the ability to identify and process medical records and bills.Key Responsibilities:Sorting and processing US medical claims documents, including medical bills and...

Medical Coding RoleWe are seeking a Medical Coding Specialist to work with our healthcare team. The ideal candidate will have a minimum of 2 years of experience in E&M or Denial coding and a strong understanding of medical coding principles and guidelines.Key ResponsibilitiesApply diagnostic & procedural codes to individual patient individual health data for...

OverviewAt CompuGroup Medical, we are seeking a highly skilled Medical Coding Specialist to join our team. In this role, you will play a vital part in creating the future of e-health by applying your expertise in medical coding principles and guidelines.Job DescriptionAs a Medical Coding Specialist, you will be responsible for assigning accurate ICD-10-CM,...

Medical Coding and Compliance SpecialistCGM Aria Health Services is seeking an experienced Medical Coder to join our growing healthcare team.An extensive group health and accidental insurance program.A safe digital application and a structured and streamlined onboarding process.Our progressive transportation model allows you to choose: You can either receive...

About the RoleWe are seeking a highly skilled Chief Medical Claims Specialist to join our team at EXL.Key ResponsibilitiesKnowledge of US Insurance/Medical Claims/US Healthcare is a requirement.Demonstrate in-depth knowledge of medical terminology and body systems.Ability to interpret medical records, correlate clinical knowledge with available medical data...

Medical Coding OpportunityCGM Aria Health Services is seeking an experienced Medical Coder to join our healthcare team. The ideal candidate will have a minimum of 2 years of experience in E&M or Denial coding and a strong understanding of medical coding principles and guidelines.Key ResponsibilitiesApply diagnostic & procedural codes to individual patient...

At UnitedHealth Group, we are committed to helping people live healthier lives and making the health system work better for everyone. As a Clinical Investigator, you will play a critical role in advancing health equity on a global scale. Your expertise in medical claims and healthcare will enable you to prevent the payment of potentially fraudulent and/or...

At UnitedHealth Group, we're committed to helping people live healthier lives and making the healthcare system work better for everyone. As a Clinical Investigator, you'll play a critical role in advancing health equity and improving health outcomes. Your expertise in medical claims and healthcare will help us identify and prevent potentially fraudulent...

At Optum, we're dedicated to delivering care and improving health outcomes for millions of people worldwide. As a Clinical Investigator, you'll play a critical role in ensuring the integrity of our healthcare services. Your medical expertise and analytical skills will be essential in identifying and preventing fraudulent claims, adhering to state and federal...

Medical Coding Role Overview As a Medical Coder at CompuGroup Medical, you will be responsible for applying diagnostic and procedural codes to individual patient health data for claims processing, ensuring accurate and timely reimbursement. Key Responsibilities Apply accurate ICD-10-CM, CPT/HCPCS codes and modifiers to patient...

Job Title: Claims Litigation SpecialistAbout the Role:The successful candidate will be responsible for providing claims litigation support services to a US P&C Insurance Carrier. This role involves working closely with the legal team to ensure accurate and timely case management, document review, and analysis.Key Responsibilities:• Manage claims cases from...

Medical Coding Role OverviewCGM Aria Health Services is seeking an experienced Medical Coder to join our growing healthcare team. The ideal candidate will have a minimum of 2 years of experience in E&M or Denial coding and a strong understanding of medical coding principles and guidelines.Key ResponsibilitiesApply diagnostic & procedural codes to individual...

Job Title: Senior Medical Claims AnalystWe are seeking a highly skilled and experienced Senior Medical Claims Analyst to join our team at EXL.About the Role:This is an exciting opportunity for a results-driven professional to play a key role in processing US medical claims documents, ensuring accuracy, efficiency, and compliance with industry standards.The...

Job DescriptionKey Responsibilities:US Insurance/Medical Claims Expertise: Preferred but not required.Advanced Medical Terminology and Body Systems Knowledge: Essential for accurate record interpretation and summary creation.Professional Summary Creation: Develop comprehensive summaries according to product guidelines.Effective Communication: Proficient in...

Job Title: Domain Specialist - Travel ClaimsAbout the Job:We are seeking a highly skilled Domain Specialist - Travel Claims to join our team at Genpact. In this role, you will be responsible for handling travel claims of Medical Treatment/hospitalization, Trip Cancellation, Baggage/Personal Items loss, and end-to-end knowledge of Travel claim lifecycle.Key...

About the Role We are seeking a skilled and detail-oriented Senior Leadership Health Claims Specialist to join our team at EXL. This role is responsible for ensuring timely and accurate resolution of Health Screening claims and Sickness claims based on claims philosophy, policy guidelines, and state regulations. The successful candidate will be able to...

About the Role We are seeking an experienced Claims Recovery Specialist to join our team at EXL. In this role, you will be responsible for managing time-sensitive requests, providing technical, administrative, and clerical support to our business unit adjusters, and coordinating the administration of department functions. Key Responsibilities: Manage...

Transform Healthcare with Us! At UnitedHealth Group, we strive to improve health outcomes by connecting people with care, pharmacy benefits, data, and resources. This role is a key part of our mission, focusing on preventing potentially fraudulent claims and adhering to state and federal compliance policies. Key Responsibilities: Utilize medical expertise...

We are seeking a skilled Medical Underwriter to join our team at EXL. As a Medical Underwriter, you will be responsible for analyzing applications for individual policies and assessing medical histories, claims data, and other pertinent information to determine the level of risks.The ideal candidate will have major experience in underwriting and be able to...

Optum is a global organization delivering care to millions of people worldwide, aided by technology to help them live healthier lives. Our mission at UnitedHealth Group is to help people achieve their healthiest lives and make the healthcare system work better for everyone. As a Healthcare Claims Resolution Specialist, you will play a critical role in this...