Leading US Healthcare Claims Improvement Initiatives

Job Opportunity:Senior Process Executive - US Healthcare (Claims) Job Description:We are seeking a highly skilled Senior Process Executive to join our team in the US healthcare claims process. As a key member of our operations team, you will be responsible for leading the development and implementation of claims adjudication processes. Required Skills and...

Job OpportunityWe are seeking a skilled Freelance Data Scientist to work with healthcare claims and provider data.Extract, clean, and analyze large-scale claims datasets.Develop and optimize SQL queries for data extraction and transformation.Apply statistical methods and machine learning techniques (Python) to generate insights.Key ResponsibilitiesBuild...

Are you ready to make a difference in the healthcare industry with data engineering?We're seeking a skilled Data Engineer to join our innovative team and contribute to AI/ML initiatives through advanced data preparation and management.This exciting role involves cleaning, rationalizing, normalizing, and integrating large healthcare datasets (claims, member,...

AR Caller Job Description We are seeking a skilled professional to handle oncology-related claims and resolve outstanding accounts receivable. Contact insurance companies to follow up on denied or underpaid oncology claims and take corrective actions.Review and analyze claim discrepancies, ensuring timely resolution of unpaid claims, resubmissions, and...

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About Our OpportunityWe are seeking skilled professionals to join our healthcare revenue cycle team as claims resolution specialists.Key Responsibilities:Make outbound calls to follow up on pending claims, reviewing denied or underpaid claims and taking appropriate action for resolution.Understand insurance guidelines, medical billing, and claims workflows...

Insurance Claims Specialist PositionWe are seeking a skilled and compassionate insurance claims specialist to handle health insurance claims with accuracy and fairness.This individual will serve as the bridge between customers, hospitals, and insurers, ensuring smooth claim experiences.Process and evaluate health insurance claims with precision and...

Lead Quality ProfessionalWe seek an experienced expert to drive continuous quality improvement and process excellence.About the RoleOptimize Transaction Quality and DeliveryManage claim Quality & Client related metricsEvaluate effectiveness of interventionsKey Responsibilities:Strengthen Quality management processes / framework for enhanced...

**Job Description:**">Contact insurance companies and patients to follow up on outstanding medical claims. The purpose is to understand the status of these claims, whether they are in progress or if there have been any issues with payment.Navigate complex billing and coding rules to ensure accurate reimbursement for healthcare providers. This requires a...

Job Title: Claims Verification SpecialistAbout the JobWe are seeking a highly organized and detail-oriented individual to fill the role of Claims Verification Specialist. This position involves working in hospitals and other healthcare facilities to ensure accurate completion of insurance forms.In this capacity, you will be responsible for verifying client...