
Medical Insurance Claims Examiner
2 weeks ago
Job Overview
The role of a Medical Insurance Verification/Prior Authorization Specialist is vital to the operations of a fast-paced sleep specialist office. This position requires an experienced and organized individual to verify insurance benefits, obtain prior authorizations, and communicate clearly with patients and insurance companies.
Key Responsibilities:
- Verify insurance coverage for sleep studies, DME, and related procedures.
- Obtain prior authorizations efficiently and accurately.
- Explain co-pays, deductibles, and co-insurance to patients.
- Work with various insurance plans including HMO and PPO.
- Document and track authorizations in EMR systems and Excel.
- Communicate effectively with patients and insurance companies.
- Support front office and billing teams when necessary.
- Handle high call volumes with excellent phone etiquette and attention to detail.
Requirements:
- Minimum 2 years of experience in medical insurance verification and prior authorization.
- Strong knowledge of co-pays, deductibles, co-insurance, and insurance plan types.
- Familiarity with sleep studies and DME services is preferred but not required.
- Ability to multitask, stay organized, and adapt to changing situations.
- Excellent verbal and written communication skills.
- Proficiency in EMR systems and Microsoft Office, especially Excel.
- Strong team player with a positive attitude.
-
Title Examiner
1 week ago
Nashik, Maharashtra, India Avanze Full timeJob Description: Title Examiner – Quality Control (Multi-State) Position Overview We are seeking a highly experienced Title Examiner with multi-state expertise to join our Quality Control (QC) team. This role focuses on reviewing and validating the work performed by title examiners to ensure accuracy, compliance, and risk mitigation. The ideal candidate...
-
Remote Medical Claims Specialist
1 week ago
Nashik, Maharashtra, India beBeeMedicalBilling Full time ₹ 6,50,000 - ₹ 8,50,000Job Overview:We are seeking a skilled Medical Biller to join our team. As a Medical Biller, you will be responsible for submitting and following up on claims with insurance companies to receive payment for services rendered by a healthcare provider.The ideal candidate will have proficiency in Medical Terminology and ICD-10 coding, experience in handling...
-
Medical Claims Follow-up Specialist
1 week ago
Nashik, Maharashtra, India beBeeRecovery Full time ₹ 8,00,000 - ₹ 15,00,000Revenue Cycle Recovery SpecialistThis role involves navigating complex billing and coding rules, ensuring accurate reimbursement of medical claims.Key Responsibilities:Follow up with insurance companies and patients to resolve outstanding medical claims.Denial Management and Healthcare Providers:Effective denial management helps healthcare providers recover...
-
Insurance Claims Expert
2 weeks ago
Nashik, Maharashtra, India beBeeClaimsProfessional Full time ₹ 60,00,000 - ₹ 1,20,00,000Job Title: Senior AssociateAbout the Role:We are seeking a highly skilled and experienced claims professional to join our team as a Senior Associate. As a key member of our operations team, you will play a critical role in delivering high-quality services to our clients.Key Responsibilities:End-to-end claims analysis and verification of policy/claims...
-
Healthcare Insurance Claim Specialist
2 weeks ago
Nashik, Maharashtra, India beBeeClaims Full time ₹ 80,00,000 - ₹ 1,20,00,000About Our OpportunityWe are seeking a seasoned Health Insurance Claims Manager to lead our end-to-end claims process, ensuring smooth, accurate, and timely resolutions for our customers. The ideal candidate will have strong experience in health insurance claims management, excellent problem-solving skills, and the ability to deliver exceptional customer...
-
Insurance Claim Settlement Expert
1 week ago
Nashik, Maharashtra, India beBeeClaims Full time ₹ 60,00,000 - ₹ 1,20,00,000Job Overview:We are seeking an experienced claims professional to manage the entire claims process. The ideal candidate will assess claims, investigate their validity, coordinate with adjusters, and ensure timely and fair settlements.Key Responsibilities:Claims Processing: Review and evaluate submitted documentation to determine eligibility based on policy...
-
Dental Claims Specialist
2 weeks ago
Nashik, Maharashtra, India beBeeClaims Full time US$ 25,000 - US$ 30,000Job Title: Dental Claims SpecialistThis is a detail-oriented role where you will submit dental insurance claims electronically and manually with accuracy and timeliness.
-
Senior Medical Billing Specialist
2 weeks ago
Nashik, Maharashtra, India beBeeMedicalBilling Full time ₹ 8,00,000 - ₹ 10,00,000Job DescriptionAmbit Global Solution is a leading medical and dental billing and revenue cycle management company. The company helps organizations maximize revenue and reduce operating costs with a highly trained team of experts.This is a full-time on-site role at Ambit Global Solution. The Senior Executive Medical Billing will be responsible for handling...
-
Title Review Specialist
2 weeks ago
Nashik, Maharashtra, India beBeeExaminer Full time ₹ 8,82,985 - ₹ 12,69,321Job Title: Title ExaminerAbout the Role:We are seeking a highly experienced and skilled title examiner to join our quality control team. The ideal candidate will have in-depth knowledge of title search and examination processes across multiple states, with a keen eye for detail to detect errors, omissions, or risks that could result in title claims.Main...
-
Group Insurance Manager
3 weeks ago
Nashik, Maharashtra, India Seva Group Full timeJob Description: Group Insurance Manager – Automobile Dealership Role Purpose: The Group Insurance Manager will be responsible for overseeing all insurance operations across the dealership, including new business, renewals, claims, compliance, and team performance. The role focuses on maximizing insurance penetration, enhancing customer satisfaction,...