Senior Healthcare Claims Process Executive

US Healthcare Claims is a high-priority operation at our organization. As a Senior Process Executive, you will play a pivotal role in driving process excellence and ensuring timely delivery of top-quality services.About the Role:You will be responsible for leveraging analytical and problem-solving skills to identify root causes of issues and implement...

About the PositionWe are seeking an experienced Engineering Manager to lead our healthcare claims processing engineering teams.This role requires a strong system design background, along with exceptional people management skills and ability to scale high-performing engineering teams.Key Responsibilities:Technical Leadership:Design and architect scalable...

Insurance Claims SpecialistThe Insurance Claims Specialist plays a pivotal role in ensuring the efficient and accurate processing of cashless insurance claims.This involves verifying policy coverage, reviewing medical records, coordinating with insurers, and ensuring timely closure to policyholders.Key Responsibilities:Manage end-to-end cashless claims of...

Overview of the RoleThe Senior Associate is responsible for performing end-to-end claims analysis, verifying policy/claims documents, and managing day-to-day production to ensure Service Level Agreements (SLAs) are met.Key Responsibilities Include:Claims setup and payment processingClaims submission and trackingCorresponding with involved claim...

Job Title: Billing and Claims Specialist">At a premier healthcare institution, we are seeking a highly skilled Billing and Claims Specialist to join our team. This pivotal role involves managing in-patient and out-patient billing processes with utmost accuracy, ensuring seamless coordination with insurance companies, TPAs, and patients for efficient cashless...

Job OpportunityWe seek an experienced professional to fill the role of Healthcare Data Operations Specialist. As a subject matter expert in healthcare operations and data management, you will bring invaluable insights to drive decision-making and improve clinic KPIs.Responsibilities include guiding teams, improving workflows, ensuring compliance with...

Job Title:The Senior Leader of Marine Insurance and Claims Oversight is a pivotal role responsible for leading the department in ensuring comprehensive implementation of all marine insurance procedures across the company.This position requires a visionary leader who can act as the authorized point of contact and escalation for all Marine Insurance and Claims...

Job Title: Senior Business Analyst with Healthcare Domain Expertise">We are seeking a seasoned professional to lead our business analysis efforts in the healthcare domain. As a Senior Business Analyst with Healthcare Domain Expertise, you will play a key role in driving business growth and ensuring compliance with regulatory requirements.">Gather, Analyze,...

Job OverviewWe are seeking an experienced data scientist to analyze and interpret large-scale healthcare claims and provider datasets. The successful candidate will have a strong background in statistical methods and machine learning techniques, with expertise in SQL and Python.Responsibilities:Extract, clean, and transform data from various sources for...

Insurance Claims Resolution ProfessionalThe role of an Insurance Claims Resolution Professional is to handle the entire claims process, from submission to final resolution, ensuring that settlements are fair, within policy limits, and compliant with legal standards.Key Responsibilities:Manage the claims process, including reviewing submitted documentation...