Healthcare Claims Specialist

Healthcare Insurance Operations PositionJob Description:This role involves processing adjudication claims and resolving payment and denial issues in a timely and accurate manner. It requires knowledge of healthcare insurance policy concepts, including in-network and out-of-network providers, deductibles, coinsurance, copays, out-of-pocket maximums, and...

Job DescriptionAs a Claims Operations Associate, you will be responsible for processing claims adjudication and adjustment processes. You will have experience in professional HCFA and institutional UB claims, as well as knowledge of healthcare insurance policy concepts.Key Responsibilities:Audit claims as outlined by Policies and Procedures.Utilize...

Key Role in Medical Claims Management:AR Specialists initiate calls to insurance companies to clarify outstanding medical claims and ensure accurate reimbursement.Navigating Complex Billing Rules:AR specialists play a critical role in managing denied claims, requiring in-depth knowledge of billing and coding regulations.Effective Denial Resolution:They work...

Senior Medical Coding Auditor SIUDeveloping expertise in assessing trends and patterns in fraudulent healthcare claims requires deep knowledge of medical coding guidelines. The professional conducts thorough investigations into allegations of fraudulent and abusive practices.Key Responsibilities:Advances the organization's expertise in CPT HCPCS and ICD-10...

Job DescriptionWe are seeking a skilled professional to join our team as an AR Caller. The successful candidate will be responsible for contacting insurance companies, reviewing and analyzing denials, and addressing any discrepancies in the US Healthcare industry.This is a full-time on-site role that requires strong analytical skills, proficiency in...

We are seeking a seasoned specialist to join our team in oncology billing and collections. This role requires expertise in claim resolutions while ensuring compliance with industry standards.Establish effective communication channels with insurance companies to follow up on oncology-related claims and resolve outstanding accounts receivable.Conduct thorough...

Job Summary:We are seeking a highly skilled Health Claims Specialist to join our team.About the Role:Process and adjudicate health claims in a timely mannerAnalyze claim data to identify trends and areas for improvementCollaborate with internal teams to resolve claim discrepanciesRequirements:2+ years of experience in health claims processingStrong...

Medical Billing Specialist JobDescription Summary: A medical billing specialist is responsible for managing and analyzing medical claims to ensure accuracy and compliance with industry standards.Key Responsibilities:Process and analyze medical claims for errors or discrepanciesMaintain accurate records of claim processing and analysisPreferred...

Job Title: BPO HCWe are seeking a skilled professional to join our team in Chennai as a BPO HC and Insurance Operations Senior Representative. This role involves analyzing insurance claims, processing them according to standard operating procedures, and performing accurate calculations.This position requires strong analytical skills and attention to...

Job Opportunity: Healthcare Revenue Cycle Specialist">We are seeking a skilled and detail-oriented Healthcare Revenue Cycle Specialist to join our growing team. As an AR Caller, you will be responsible for making outbound calls to US healthcare insurance companies to resolve outstanding claims and ensure timely reimbursement for healthcare providers.Key...