Insurance Claims Specialist

About This Role:We are seeking an Insurance Claims Expert to join our team. As a key member of our Claims Management department, you will be responsible for efficiently and accurately processing and managing cashless insurance claims.The primary goal of this role is to facilitate the smooth and timely processing of cashless claims, ensuring employees receive...

Responsible for initiating contact with insurance companies and patients to follow up on outstanding medical claims, ensuring accurate reimbursement through effective management of complex billing and coding rules.Denial Management RoleFollow-up and Resolution:Initiate calls to inquire about denied claims status, maintaining thorough records of interactions...

Claims Data Migration SpecialistOur organization is seeking a skilled Claims Data Migration Specialist to support the migration of claims data from legacy systems to Guidewire Claim Center. The ideal candidate will have strong property and casualty insurance domain knowledge, expertise in SQL, and hands-on experience mapping data between legacy tables and...

Dental Billing SpecialistWe are seeking a highly skilled professional to fill the role of Dental Billing Specialist with dental insurance experience.The ideal candidate will be responsible for submitting claims, posting payments, verifying insurance, and following up on outstanding balances.Prepare and submit dental insurance claims accurately and in a...

Job OverviewWe are seeking a meticulous and organized dental claims submission professional to manage the timely processing of dental insurance claims, track payments, follow up on outstanding balances, and ensure the accuracy of accounts receivable records.Key Responsibilities:Submit dental insurance claims electronically and manually with accuracy and...

Seeking an experienced Health Insurance Claims Manager to oversee the end-to-end claims process for our customers. The ideal candidate will have a strong background in health insurance claims management, excellent problem-solving skills, and the ability to deliver a seamless, customer-focused experience.Key Responsibilities:Manage the complete lifecycle of...

Medical Claims Resolution Specialist Job DescriptionWe are seeking an experienced Medical Claims Resolution Specialist to join our team at a dynamic organization. The ideal candidate will possess excellent communication skills, a strong understanding of RCM/HIPAA regulations, and the ability to work effectively in a rotational shift environment.Main...

Key Account Resolution SpecialistWe are seeking a highly skilled and experienced Key Account Resolution Specialist to join our team. This individual will be responsible for resolving complex oncology-related claims and outstanding accounts receivable by establishing and maintaining effective relationships with insurance companies.The ideal candidate will...

We are seeking a highly organized and experienced Medical Insurance Verification Specialist to join our team.Job Responsibilities:Verify patient insurance benefits and eligibility for sleep studies, durable medical equipment (DME), and related procedures efficiently.Obtain prior authorizations accurately and in a timely manner.Clearly explain co-pays,...

Health Insurance Claims ProfessionalWe are seeking a dedicated and compassionate professional to process and evaluate health insurance claims with accuracy and fairness. This role plays a vital part in ensuring smooth claim experiences for customers.The successful candidate will be responsible for verifying policy coverage, eligibility, and supporting...