Senior Healthcare Claims Process Optimization Lead

Job TitleUS Healthcare Claims Process Senior ExecutiveHiring for a seasoned senior executive to lead our US healthcare claims process team.The ideal candidate will have 1-3 years of experience in claims adjudication, strong analytical skills and excellent communication abilities.We seek an individual with expertise in coding (ICD, CPT, HCPCS),...

Claims Resolution SpecialistWe are seeking a highly skilled Claims Resolution Specialist to join our growing healthcare revenue cycle team. The successful candidate will be responsible for making calls to US healthcare insurance companies, resolving outstanding claims and ensuring timely reimbursement for healthcare providers.Key Responsibilities:Make...

Job Title: Data Scientist - Healthcare ClaimsWe are seeking an expert Freelance Data Scientist with a strong background in SQL, Python, and healthcare claims/provider data. The ideal candidate will utilize analytical expertise and domain knowledge to extract insights, build predictive models, and support data-driven decision-making in the healthcare...

Senior Claims ProfessionalGyanindit Pvt. Ltd. is dedicated to empowering individuals and organizations through knowledge and expertise.We provide exceptional services that help you achieve your personal and professional goals, including guidance, resources, and innovative solutions.Our mission is to make a meaningful difference by offering the tools and...

Job Overview:We seek a seasoned Claims Resolution Specialist to contact insurance companies, resolve oncology-related claims and outstanding accounts receivable.Key Responsibilities:Follow up with insurance carriers on denied or underpaid oncology claims.Analyze and take corrective actions on claim discrepancies.Ensure timely follow-up on unpaid claims,...

Role Summary:The primary function of this position is to manage and process cashless insurance claims efficiently and accurately. This includes ensuring timely closure for policyholders and seamless coordination with insurance providers.Key Responsibilities:Claims Processing: Manage end-to-end cashless claims, verifying policy coverage, reviewing medical...

Job Title: Health Insurance Claims SpecialistAt our organization, we're looking for a skilled professional to fill the role of Health Insurance Claims Specialist. This position is ideal for someone who is passionate about delivering excellent customer service and ensuring smooth claim experiences.Key Responsibilities:Process and evaluate health insurance...

Job Summary:Process Optimization ExpertWe are seeking an experienced process optimization expert to lead our Order to Cash (OTC) team. The ideal candidate will have a strong understanding of End-to-End Knowledge in OTC and at least 5 years of relevant work experience.About You:You hold a graduate or postgraduate degree, preferably in Business Administration...

We are seeking a highly skilled and detail-oriented Medical Claims Follow-up Specialist to join our team.Job Summary:This role is responsible for contacting insurance companies and patients to follow up on outstanding medical claims, ensuring accurate reimbursement. The ideal candidate will have excellent communication skills, the ability to navigate complex...

Business Analyst – Healthcare DomainGather, analyze, and document business requirements related to HIPAA, CMS, NCQA, and state-specific regulations.Ensure system changes, processes, and documentation remain compliant with healthcare regulations and payer guidelines.Act as liaison with compliance and legal teams during audits or regulatory updates.Benefit...