Medical Claims Resolution Specialist

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:...

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...

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 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: Client PartnerThis role is for an Accounts Receivable Specialist, primarily responsible for managing and resolving outstanding claims for US healthcare customers through direct communication.Key Responsibilities:Perform thorough pre-call analysis to verify claim status by contacting payers or utilizing IVR/web portal services.Ensure meticulous...

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...

We are seeking a skilled professional to join our team as a Claims Specialist.Job Description:The successful candidate will be responsible for reviewing claims for assigned offices and ensuring timely submission. This will involve performing quality control checks on patient accounts for accurate billing, reviewing and analyzing denial queues to identify...

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...

Claims Management ProfessionalAbout this role:As a Claims Management Specialist, you will be responsible for processing and managing cashless insurance claims efficiently and accurately.This includes verifying policy coverage, reviewing medical records, coordinating with insurers, and ensuring that claims are processed accurately and efficiently.As a Claims...

Medical Audit SpecialistWe are seeking a highly skilled Medical Audit Specialist to join our team. As a Medical Audit Specialist, you will be responsible for analyzing medical reports, processing medical claims, and scrutinizing medical documents. Job Responsibilities:Review and analyze medical reports to ensure accuracy and completeness.Process and approve...