US Healthcare Claims Process Specialist

About the RoleWe are seeking highly skilled and detail-oriented individuals to fill the position of US Healthcare Insurance Claim Resolvers. As a key member of our revenue cycle team, you will be responsible for making timely and effective calls to insurance companies to resolve outstanding claims.Key Responsibilities:Make outbound calls to insurance...

Senior Process ExecutiveWe are seeking a highly skilled professional to lead our healthcare claims team.The ideal candidate will have 1-3 years of experience in claims adjudication and be proficient in coding (ICD, CPT, HCPCS).A strong background in claims adjustments is also essential. Additionally, experience with the No Surprises Act project would be a...

Health Insurance Claims SpecialistWe're seeking an experienced Health Insurance Claims Specialist to join our team. As a vital member of our organization, you will play a key role in ensuring smooth claim experiences for our customers.Process and evaluate health insurance claims with accuracy and fairness.Verify policy coverage, eligibility, and supporting...

About this key role:We seek a seasoned Claims Expert to efficiently and accurately process cashless insurance claims, ensuring timely policyholder resolution and seamless insurer coordination.The ideal candidate will manage cashless claims for employees, verify policy coverage, review medical records, coordinate with Insurers, and guarantee accurate claim...

Job Title:Business Operations Specialist (Healthcare Product Development)Job Description:The Business Operations Specialist plays a pivotal role in bridging sales, product, and demo engineering teams by designing realistic demo scenarios, defining business outcomes, and representing the user perspective. This specialist ensures all demos align to practical...

Claims Settlement Specialist Job DescriptionWe are seeking an experienced Claims Settlement Specialist to manage the entire claims settlement process from submission to final resolution.The ideal candidate will assess claims, investigate their validity, coordinate with adjusters, and ensure timely and fair settlements.Key Responsibilities:

We are seeking a Freelance Data Scientist with expertise in SQL, Python, and healthcare claims/provider data. This consultant will leverage analytical skills and domain knowledge to uncover insights, build predictive models, and support data-driven decision-making in the healthcare space.Key Responsibilities:Extract, clean, and analyze large-scale claims and...

Dental Claims SpecialistWe are seeking a detail-oriented professional to join our team as a Dental Claims Specialist.Timely submission of dental insurance claims electronically and manually with accuracyReview patient records, treatment plans, and insurance coverage to ensure proper coding and documentationFollow up on unpaid or rejected claims; investigate...

Senior Oncology AR SpecialistWe are seeking a seasoned AR professional with expertise in oncology billing and collections. The ideal candidate should have at least 3 years of experience, exceptional communication skills, and the ability to resolve complex claim disputes while ensuring compliance with industry standards.Required Qualifications & Skills3+...

Healthcare Business AnalystGather, analyze, and document business requirements related to regulations.Responsibilities:Regulatory Compliance: Ensure system changes, processes, and documentation remain compliant with healthcare regulations and payer guidelines.Business Requirements Gathering: Gather, analyze, and document business requirements related to...