US Healthcare Claims Adjudication Specialist

Effective management of US healthcare claims requires an individual with advanced analytical and problem-solving skills.Job Responsibilities:Analytical Problem Solving SkillsA meticulous eye for detail is necessary to identify the root cause of issues, coupled with strong active reading, writing, and questioning skills.Senior Process Executives must...

About the RoleWe are hiring skilled professionals to join our expanding healthcare revenue cycle team. As a Medical Claims Specialist, you will be responsible for making calls to US healthcare insurance companies, resolving outstanding claims, and ensuring timely reimbursement for healthcare providers.

Key Account Oncology Billing SpecialistWe are seeking an experienced professional to join our team as a Key Account Oncology Billing Specialist with a strong background in oncology billing and collections. In this role, you will be responsible for contacting insurance companies to follow up on oncology-related claims and resolving outstanding accounts...

Job Description">Leadership Opportunity in Healthcare TechnologyA leading organization is seeking a highly experienced Senior Engineering Manager to lead our healthcare claims processing engineering teams. This is an exceptional opportunity for a technical leader with strong system design expertise and exceptional people management skills.The ideal candidate...

Job Description">About Our OrganizationWe are India's leading FinTech innovator in the education ecosystem, transforming the $100B+ education industry through our cutting-edge financial solutions.Our flagship offering—monthly EMI solutions for school and college fee payments—makes education more accessible, affordable, and rewarding for millions of...

Freelance Data Scientist in Healthcare ClaimsJob Title: Freelance Data ScientistAs a skilled freelancer, you will be working with healthcare claims and provider data to uncover insights and build predictive models.Key Responsibilities:Extract and analyze large-scale claims and provider datasets.Develop and optimize SQL queries and ETL scripts for data...

Health Insurance Claims Specialist PositionThe role involves processing and evaluating health insurance claims with accuracy and fairness. This position requires a strong understanding of insurance processes and regulations.Key Responsibilities:Process and evaluate health insurance claims to ensure smooth claim experiences for customers, hospitals, and...

Job Summary:We are seeking a skilled Claims Professional to join our team. As a Claims Specialist, you will play a crucial part in processing and managing cashless insurance claims efficiently and accurately.Key Responsibilities:Managing end-to-end cashless claims of employees, including verifying policy coverage, reviewing medical records, and coordinating...

Insurance Claim Specialist RoleThe Insurance Claim Specialist is responsible for managing communication between insurance companies and patients to ensure timely and accurate reimbursement of medical claims.Key Responsibilities:Claim Follow-up: Initiate calls to insurance companies to inquire about the status of denied claims, documenting all interactions...

Job Title: Senior Business Consultant with Healthcare Expertise Job Role:The Senior Business Consultant with Healthcare Expertise will play a pivotal role in driving strategic initiatives across the healthcare domain.Assist in gathering, analyzing, and documenting business requirements related to HIPAA, CMS, NCQA, and state-specific regulations.Ensure...