US Healthcare Claims Professional

Job Title: Senior Process ExecutiveLocation: Mysore, Karnataka, IndiaJob Description:The role of a Senior Process Executive in US Healthcare Claims involves analyzing and resolving issues in the healthcare claims process. This requires strong analytical and problem-solving skills, with the ability to identify root causes and implement effective...

EDI TesterAbout this role:This position requires a meticulous individual to validate healthcare EDI transactions. The ideal candidate will possess hands-on experience with Facets, SQL, and US healthcare domain knowledge.Validating EDI transactions for accuracy and completeness.Maintaining records of transaction data for easy reference.Identifying and...

Job SummaryWe are seeking a highly skilled Claims Specialist to join our team. The successful candidate will be responsible for processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers.Key Responsibilities Include:Managing end-to-end cashless...

Senior Revenue Cycle ManagerWe are seeking an experienced professional to lead and manage a new revenue cycle team. This role requires end-to-end knowledge of the US healthcare revenue cycle, including medical billing, coding, prior authorization, denial management, and insurance verification.Main ResponsibilitiesEstablish efficient processes and workflows...

Job OverviewWe seek an experienced Health Insurance Claims Manager to oversee and manage the end-to-end claims process for our customers. As primary liaison between clients, insurers, TPAs, and healthcare providers, you will ensure claims are handled smoothly, accurately, and on time.The ideal candidate has a strong background in health insurance claims...

Job Title: Claims AdvocateRole OverviewWe are seeking a skilled Health Insurance Claims Specialist to support our team. In this capacity, you will serve as a liaison between customers, healthcare providers, and insurers, handling claims with accuracy, empathy, and efficiency.Key Responsibilities:Process and evaluate health insurance claims in a fair and...

About WNSWe are a leading Business Process Management company that combines deep industry knowledge with technology and analytics expertise to co-create innovative, digital-led transformational solutions with clients across various industries.Our services span finance and accounting, procurement, customer interaction services, and human resources, leveraging...

Healthcare Operations LeaderThis role plays a vital part in guiding teams, enhancing clinic efficiency, and ensuring compliance with healthcare regulations.Key Responsibilities:Manage comprehensive clinic workflows including front desk, administrative tasks, patient support, and schedulingTrain and assist staff on EHR/EMR systems (Epic, Cerner, etc.) –...

Job DescriptionThreatXIntel is a startup cyber security company dedicated to providing customized and affordable solutions to protect businesses from cyber threats.We are looking for a highly skilled Freelance Data Scientist with expertise in SQL, Python, and healthcare claims/provider data. The ideal consultant will leverage analytical expertise and domain...

Healthcare Data Automation Engineer">We are seeking a seasoned Machine Learning Engineer with expertise in building and optimizing Optical Character Recognition (OCR), Natural Language Processing (NLP), and Machine Learning (ML) models for healthcare claim automation.The ideal candidate will have strong knowledge of Python, FastAPI, and popular ML frameworks...