Claims Resolution Specialist

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...

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...

Key ResponsibilitiesInitiate inquiries with insurance providers to verify claim statusAnalyze denial reasons and formulate appeal submissionsMaintain comprehensive notes and updates on all claimsThe ideal candidate will exhibit unwavering persistence, a robust understanding of billing procedures, and the ability to overcome obstacles in order to drive claims...

Senior Claims Analyst Job DescriptionWe are seeking a highly skilled and experienced Senior Claims Analyst to join our team. This role requires processing Life Insurance and Living benefits Claims for Canadian customers.Key Responsibilities:Process Life Insurance and Living benefits Claims for Canadian customers.Coordinate with onshore teams and clients to...

Job OpportunityWe are seeking a highly skilled Claims Process Executive to fill this key position.About the Role:This role involves processing customer claims in a timely and efficient manner, ensuring seamless claim processing through effective collaboration with internal teams.Main Responsibilities:

Job Title: Insurance Claims SpecialistEnsuring accurate and timely completion of transactions to meet or exceed client service level agreements is key.Performing outbound calls to collect outstanding accounts receivables from insurance companies in the US is a major responsibility.Reviewing remittance and taking action towards payment solutions for denied...

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...

Senior Claims Examiner RoleThis role involves claims adjudication and adjustment, focusing on professional (HCFA) and institutional (UB) claims. The ideal candidate will have 2-3 years of experience in handling authorization, COB, duplicate and pricing processes. They should also be knowledgeable about healthcare insurance policy concepts, including...

Our team is looking for an experienced professional to handle customer claims in a voice process environment.About the RoleThis role requires at least 5 years of experience in business process outsourcing.The ideal candidate will possess strong communication skills, a positive attitude and high computer literacy and typing skills.What We OfferA comprehensive...

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...