Healthcare Claims Specialist

Healthcare Claims Processing SpecialistYou will be part of a team responsible for the administration of health claims. This involves core claim processing, including registering claims, editing and verification, claims evaluation, and examination and litigation.In this role, you will deliver business solutions that support the healthcare claim function,...

Job SummaryA Claims Operations Manager is required to oversee the claims process in the US healthcare industry.The ideal candidate should possess expertise in claims adjudication, adjustments, and coding (ICD, CPT, HCPCS).Experience with regulatory compliance and strong analytical skills are highly desirable.As a team player, effective communicator, and...

Healthcare Claims Analyst","Deliver business solutions that enhance operational efficiency for healthcare clients.Utilize analytics and technology to improve claim processing and member benefits.Collaborate with the team to achieve business goals and objectives.In this role, you will be responsible for delivering results-oriented solutions that meet the...

Job Title:Claims SpecialistLocation:MumbaiAbout UsQuantanite is a global outsourcing partner delivering exceptional customer experience and back-office solutions to some of the world's leading brands. We take pride in our fast-paced, inclusive work culture that empowers individuals to perform at their best—wherever they are in the world.Position OverviewWe...

Job Title: Client PartnerThis role is for an Accounts Receivable Specialist, primarily responsible for managing and resolving outstanding claims for US healthcare customers through direct communication.Key Responsibilities:Perform thorough pre-call analysis to verify claim status by contacting payers or utilizing IVR/web portal services.Ensure meticulous...

We are seeking a skilled professional to join our team as a Claims Specialist.Job Description:The successful candidate will be responsible for reviewing claims for assigned offices and ensuring timely submission. This will involve performing quality control checks on patient accounts for accurate billing, reviewing and analyzing denial queues to identify...

Medical Claims Recovery SpecialistWe are seeking an experienced professional to manage and resolve outstanding medical claims. As a Medical Claims Recovery Specialist, you will be responsible for initiating contact with insurance companies and patients to follow up on denied claims and ensure accurate reimbursement.Key ResponsibilitiesDenial Resolution:...

Lead AnalystOur organization is seeking a highly skilled Lead Analyst to fill the position of Senior Process Executive. As a key member of our team, you will be responsible for analyzing and resolving complex issues in US healthcare claims.Key Responsibilities:We are looking for someone with active reading, writing, and questioning skills to determine the...

Healthcare Claims SpecialistWe are seeking a highly skilled professional to join our Healthcare Claims team as a Business Solutions Deliverer.Main Responsibilities:To utilize advanced analytics, technology expertise, and industry knowledge to optimize operational efficiency for healthcare clients.To develop and implement business solutions that enhance...

Job TitleThis role is for a specialist in resolving outstanding claims for US healthcare customers through calling.The ideal candidate will have excellent communication skills, a willingness to learn, and a commitment to accurate documentation and client service.Responsibilities:Perform pre-call analysis and check the status of claims by calling payers or...