Healthcare Claims Process Leader

Job OverviewOur team is seeking a skilled Claims Resolution Specialist to join our growing healthcare revenue cycle team.Key Responsibilities:Making timely calls to follow up on pending claims and ensuring timely reimbursement for healthcare providers.Reviewing denied or underpaid claims and taking appropriate action for resolution.Documenting all...

Healthcare Claim Automation EngineerWe are seeking a highly skilled engineer to build, optimize and integrate OCR/NLP/ML models for healthcare claim automation. The ideal candidate will have strong skills in Python, FastAPI, ML frameworks and hands-on experience with OCR tools and NLP libraries.Key Responsibilities:Develop robust APIs using FastAPI for...

Job Title: Claims ProcessorAbout the Role:The Claims Processor plays a pivotal part in managing and processing cashless insurance claims with precision and speed, ensuring timely resolution for policyholders and seamless collaboration with insurance providers.This position involves verifying policy coverage, reviewing medical records, coordinating with...

Transforming patient care through accurate and timely claims processing is our top priority.Job Title: Claims RepresentativeWe seek a skilled Health Insurance Claims Representative to join our team in delivering seamless claim experiences for patients.Key Responsibilities:Process and evaluate health insurance claims with precision, ensuring compliance with...

Job Opportunity: Data Scientist for Healthcare ClaimsJob OverviewWe are seeking a skilled Data Scientist with expertise in healthcare claims and provider data to join our team.Key Responsibilities:Extract, clean, and analyze large-scale claims and provider datasets.Develop and optimize SQL queries, stored procedures, and ETL scripts for data extraction and...

Healthcare Data and Operations ExpertiseWe are seeking an experienced Healthcare Data and Operations Subject Matter Expert to drive excellence in clinic operations, electronic health record (EHR) systems, billing, coding, and healthcare data management.This role requires a strategic thinker with hands-on expertise in managing end-to-end clinic workflows,...

We are seeking an experienced Health Insurance Claims Manager to oversee the end-to-end claims process for customers. The ideal candidate will serve as the primary liaison between clients, insurers, TPAs, and healthcare providers to ensure claims are handled smoothly, accurately, and on time.">Key ResponsibilitiesManage the complete lifecycle of health...

Senior Business Analyst with HealthCareGather, analyze, and document business requirements related to healthcare regulations.Required Skills and Qualifications:Proven experience in Healthcare DomainAbility to ensure system changes, processes, and documentation remain compliant with healthcare regulationsEffective communication skills for collaboration with...

Job Title: Experienced Billing RCMWe are seeking a skilled and detail-oriented Medical Billing Specialist to join our billing team.As a key member of our revenue cycle management team, you will play a crucial role in managing the billing processes to ensure timely and accurate submission of claims, efficient processing of payments, and adherence to industry...

Insurance Claim Specialist Position OverviewWe are seeking a skilled Insurance Claim Specialist to oversee the entire claims settlement process from submission to final resolution.The ideal candidate will have strong analytical and communication skills, with the ability to assess claims, investigate their validity, and ensure timely and fair...