Healthcare Industry Medical Claims Specialist

Job Title: Oncology Claims Resolution SpecialistOverview:We are seeking a skilled professional to join our team as an Oncology Claims Resolution Specialist. This role involves resolving complex oncology-related claims and accounts receivable in the US healthcare industry.Key Responsibilities:Contact insurance companies to follow up on oncology-related claims...

About the Position:The role of Claims Management Professional involves efficiently and accurately processing and managing cashless insurance claims to ensure timely closure to policyholders and seamless coordination with insurance providers.This position requires verifying policy coverage, reviewing medical records, coordinating with Insurers, and ensuring...

US Healthcare Claims Process ManagerWe are seeking a highly skilled and experienced process executive to manage our US healthcare claims processing operations. The ideal candidate will have extensive knowledge of the US healthcare system, including claims adjudication and coding (ICD, CPT, HCPCS).Key Responsibilities:Develop and implement efficient claims...

Job Title: Healthcare SpecialistKey Responsibilities:Evaluate AI-generated medical content for accuracy and safetyAssess patient scenarios and determine likely diagnoses/treatment plansReview AI summaries of medical conversationsPerform various text-based medical evaluation tasksRequirements:Medical qualifications: A licensed medical doctor...

Job Title:AR Specialist - Insurance Claims ResolutionKey Responsibilities:Claims Follow-up and Resolution:Initiate calls to insurance companies to inquire about denied claims, documenting all interactions and follow-up actions.Claim Re-submittal:Re-submit claims with corrected information or appealing denials.Communication:Communicate with patients and...

Health Insurance Claims SpecialistWe are seeking a highly skilled Health Insurance Claims Specialist to join our team. In this role, you will be responsible for processing and evaluating health insurance claims with accuracy and fairness.The ideal candidate will have a strong understanding of insurance processes and regulations, as well as excellent customer...

We are currently seeking an accomplished Operations Team Lead to oversee the entire RCM (Revenue Cycle Management) lifecycle. In this pivotal role, you will lead and mentor a high-performing team of medical billing professionals, ensuring seamless end-to-end RCM activities.Key Responsibilities:Direct and motivate a team of medical billing specialists in...

Transforming Healthcare Claims with Analytical PrecisionWe are seeking a seasoned Senior Process Executive to drive process excellence in our US Healthcare Claims division.The ideal candidate will possess strong analytical problem-solving skills, active reading and writing, with an eye for detail to determine the root cause of issues. They will also have...

We are seeking a detail-oriented Medical Documentation Specialist to assist our healthcare providers with clinical documentation and administrative tasks.Job DescriptionThe ideal candidate will have experience working with Electronic Health Records (EHRs) and possess strong typing skills. The Medical Documentation Specialist will be responsible for:Reviewing...

Job Title: Medical WriterAs a skilled Medical Writer, you will play a key role in supporting a range of healthcare data projects. Your expertise in medical terminologies, clinical trial data, and healthcare coding systems will be invaluable to our team.The ideal candidate will have strong knowledge of medical terminologies, clinical trial data, and...