US Healthcare Claims Leader

Maximize your career potential by taking on a senior role in US healthcare claims processing.About the Opportunity:Lead and optimize claims processing workflows to ensure timely and accurate payment of healthcare claims.Develop strong analytical skills and attention to detail to review and resolve complex claim issues.Collaborate effectively with...

About UsOur team is currently looking for an experienced Accounts Receivable (AR) Caller to join our growing healthcare revenue cycle team.The AR Caller will be responsible for making outbound calls to US healthcare insurance companies, resolving outstanding claims, and ensuring timely reimbursement for healthcare providers.Key Responsibilities:Follow up on...

About Our Health Insurance Claims RoleWe're seeking a skilled and empathetic professional to handle health insurance claims with accuracy, fairness, and efficiency.Key Responsibilities:Process and evaluate health insurance claims with precision and empathy.Verify policy coverage, eligibility, and supporting documents for seamless settlement.Maintain accurate...

Job Title: Claims SpecialistKey Responsibilities:Manage end-to-end cashless claims of employees, verifying policy coverage and coordinating with insurers.Verify Policy Coverage: Review policy details to ensure eligibility for cashless processing.Provide Customer Service: Respond to inquiries regarding claim status and related queries.Coordinate with...

About ACL Digital Headquartered in Silicon Valley, ACL Digital is a leading provider of design-led digital experiences, innovation, enterprise modernization, and product engineering services. As part of the global ALTEN Group with 50,000+ employees across 30+ countries, we offer a diverse, multicultural workplace focused on collaboration, continuous...

Key roles and responsibilities of an AR calling specialist include contacting insurance companies and patients to follow up on outstanding medical claims. This process involves navigating complex billing and coding rules, and AR callers often play a critical role in denial management.Denial Management ResponsibilitiesFollow-up and Resolution:Initiate calls...

Healthcare Data Operations ExpertWe are seeking an experienced Healthcare Data Operations Subject Matter Expert to join our team.Job Description:The role requires a strong background in healthcare operations and data management, with hands-on expertise in EHR/EMR systems and knowledge of billing & coding standards.Key Responsibilities:Develop and deliver...

We're seeking a skilled professional to drive our AI/ML initiatives through advanced data preparation and management.Key Responsibilities:Design, develop, test, and integrate data solutions to support automated workflows, bots, and AI-driven analytics.Clean and prepare large healthcare datasets for predictive analytics, risk stratification, fraud detection,...

Job Title: Guidewire Claim Center DeveloperWe are seeking an experienced Guidewire Claims Professional to fill a key role in our organization.The ideal candidate will possess a strong background in Guidewire Integration, GW Claims Configuration, and cloud-based systems.Key Responsibilities:Design and implement Guidewire Claim Center solutions for...

Business Development RepresentativeAidNix is a fast-growing healthtech startup that simplifies healthcare for patients while increasing revenue opportunities for providers.We are looking for individuals with strong networking skills in the medical/healthcare ecosystem. Medical sales representatives, freelancers, and retired pharma professionals are...