US Healthcare Customer Claims Resolutions Specialist

Job TitleThis role is for a specialist in resolving outstanding claims for US healthcare customers through calling.The ideal candidate will have excellent communication skills, a willingness to learn, and a commitment to accurate documentation and client service.Responsibilities:Perform pre-call analysis and check the status of claims by calling payers or...

Key Responsibilities of the AR Caller Role:Perform thorough follow-ups with insurance companies on outstanding claims, ensuring timely resolution.Handle denials and rejections efficiently, taking necessary actions such as appeals and resubmissions.Maintain accurate documentation of call outcomes and payer responses.Meet productivity and quality standards...

Job DescriptionAs a key member of our team, you will play a crucial role in ensuring timely resolution of insurance claims.Verify insurance eligibility and benefits for patients/clients prior to claims submission.Review and process insurance claims to ensure accurate documentation and compliance with guidelines.Analyze outstanding accounts and work towards...

Job Title: Insurance Claim Settlement Specialist We are seeking an experienced Claims Manager to oversee the entire claims settlement process, from submission to final resolution. Key Responsibilities:Assess claims, investigate their validity, and ensure timely and fair settlements.Analyze data according to provided SOPs to ensure accurate and efficient...

Job SummaryA Claims Operations Manager is required to oversee the claims process in the US healthcare industry.The ideal candidate should possess expertise in claims adjudication, adjustments, and coding (ICD, CPT, HCPCS).Experience with regulatory compliance and strong analytical skills are highly desirable.As a team player, effective communicator, and...

Job Description:\The Healthcare Claims team is responsible for the administration of health claims. This team involves core claim processing such as registering claims, editing and verification, claims evaluation, examination and litigation.\

Healthcare Claims Processing SpecialistYou will be part of a team responsible for the administration of health claims. This involves core claim processing, including registering claims, editing and verification, claims evaluation, and examination and litigation.In this role, you will deliver business solutions that support the healthcare claim function,...

Medical Claims Recovery SpecialistWe are seeking an experienced professional to manage and resolve outstanding medical claims. As a Medical Claims Recovery Specialist, you will be responsible for initiating contact with insurance companies and patients to follow up on denied claims and ensure accurate reimbursement.Key ResponsibilitiesDenial Resolution:...

Healthcare Claims Analyst","Deliver business solutions that enhance operational efficiency for healthcare clients.Utilize analytics and technology to improve claim processing and member benefits.Collaborate with the team to achieve business goals and objectives.In this role, you will be responsible for delivering results-oriented solutions that meet the...

Job Title:Claims SpecialistLocation:MumbaiAbout UsQuantanite is a global outsourcing partner delivering exceptional customer experience and back-office solutions to some of the world's leading brands. We take pride in our fast-paced, inclusive work culture that empowers individuals to perform at their best—wherever they are in the world.Position OverviewWe...