US Healthcare Claims Senior Process Executive

Job OverviewWe are seeking an experienced claims professional to join our team. As a Senior Claims Specialist, you will be responsible for conducting end-to-end claims analyses and verifying policy/claims documents.Key Responsibilities:Conduct thorough reviews of claims documentation to ensure accuracy and completeness.Develop and maintain effective...

Health Insurance Claims ManagerWe are seeking an experienced Health Insurance Claims Manager to oversee and manage the end-to-end claims process for our customers.Role Overview:Manage the complete lifecycle of health insurance claims, including verification, documentation, submission, follow-up, and settlement.Assist and guide customers through the claims...

Job Description:We are seeking a highly skilled Sr. Process Executive to lead our healthcare claims team.The ideal candidate will have experience working with the No Surprises Act project and be proficient in identifying process improvements.This is an excellent opportunity for a motivated and detail-oriented professional with experience in claims...

Thriving in the realm of healthcare analytics, a seasoned Freelance Data Scientist is sought after to unravel complex data sets and reveal actionable insights.We are on the hunt for an analytical rockstar with expertise in SQL, Python, and healthcare claims/provider data. The ideal candidate will leverage technical prowess and domain knowledge to extract...

Job SummaryWe are seeking an experienced professional to manage clinic operations, EHR/EMR systems, billing, coding, and healthcare data management.Key Responsibilities:Clinic Workflow Management: Oversee end-to-end clinic workflows including front desk, clerical tasks, patient assistance, and scheduling.EHR/EMR Training: Train and support staff on EHR/EMR...

Job Title: Health Insurance Claims SpecialistWe are seeking a highly skilled and compassionate Health Insurance Claims Specialist to join our team. In this role, you will be responsible for handling health insurance claims with accuracy, empathy, and efficiency.About the Role:The ideal candidate will have experience in health insurance claims...

Job Title:Claims Management Specialist">">Job Description:The Claims Management Specialist plays a crucial part in processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers.">Key Responsibilities:Cashless Claim Management: Manage end-to-end...

Job DescriptionGather, analyze and document business requirements related to healthcare regulations. Ensure system changes, processes and documentation remain compliant with healthcare laws and payer guidelines.Required Skills & QualificationsHIPAA Compliance Expertise: Proficient in navigating HIPAA, CMS, NCQA and state-specific regulations.Benefit...

AR Calling Specialist Job DescriptionThis role requires an experienced professional to navigate complex billing and coding rules to ensure accurate reimbursement of medical claims.Key Responsibilities:Initiate calls to insurance companies to inquire about the status of denied claims.Maintain thorough records of all interactions and follow-up...

Job Title: Insurance Claims ManagerWe are seeking an experienced professional to manage the entire claims process from submission to final resolution.Key Responsibilities:Claims Processing: Handle the entire claims process, reviewing submitted documentation and determining eligibility based on policy coverage.Data Analysis: Analyze data according to provided...