US Healthcare Claims Management Professional

Healthcare Data AnalystWe are seeking an experienced Data Scientist to analyze and interpret large-scale healthcare claims data.Key Responsibilities:Extract, clean, and analyze healthcare claims datasets using advanced SQL techniques and machine learning algorithms.Develop predictive models to identify trends, anomalies, and opportunities in healthcare...

Job SummaryWe are seeking a Senior Process Executive to join our team. In this role, you will be responsible for reading, writing, and questioning with an eye for detail to determine the root cause of issues. You will work closely with colleagues to evaluate solutions and resolve issues.Key ResponsibilitiesActive problem-solving skills and quick thinking to...

Health Insurance Claims Professional OpportunityAre you passionate about delivering exceptional customer experiences and ensuring smooth claim resolutions? We're seeking a skilled Health Insurance Claims Professional to join our team. In this role, you'll serve as the bridge between customers, hospitals, and insurers, handling claims with accuracy, empathy,...

Job Title: Claims SpecialistAbout this role:The primary objective of a claims specialist is to efficiently and accurately process and manage cashless insurance claims, ensuring timely closure for policyholders and seamless coordination with insurance providers.This role involves verifying policy coverage, reviewing medical records, coordinating with...

As a key figure in medical claims processing, you will play a crucial role in ensuring accurate reimbursement. Your responsibility will involve navigating complex billing and coding rules to follow up on outstanding claims.Main Responsibilities:Claim ResolutionYou will initiate calls to insurance companies to inquire about the status of denied...

Job Title:AR Calling SpecialistJob Description:Responsible for contacting insurance companies and patients to follow up on outstanding medical claims and ensure accurate reimbursement. This process involves navigating complex billing and coding rules, and AR callers often play a critical role in denial management.AR Caller's Role in Denial...

Healthcare Operations and Data Management InstructorThe role involves providing expert training and support in various areas of healthcare operations, including clinic workflow management, electronic health record (EHR) systems, billing and coding standards, HIPAA compliance, patient data security, and healthcare metrics.Key responsibilities include managing...

Job OverviewWe are seeking an experienced Health Insurance Claims Manager to oversee and manage the end-to-end claims process for our customers. In this role, you will serve as the primary liaison between clients, insurers, third-party administrators (TPAs), and healthcare providers to ensure claims are handled smoothly, accurately, and on time.The ideal...

Billing Executive RoleOur hospital network is dedicated to providing advanced technology and patient-centric care. We are seeking a skilled Billing Executive to handle in-patient and out-patient billing processes with accuracy.Prepare and verify bills, maintain records, and ensure compliance with hospital policiesCoordinate with insurance companies and...

Job Overview:We seek an experienced Chief Healthcare Technology Strategist to lead our claims processing engineering teams. This individual will drive technical strategy and team growth while ensuring system reliability, performance, and security standards meet healthcare compliance requirements.Key Responsibilities:Design and architect scalable healthcare...