US Healthcare Claims Leader

Job Title:Claims Processing SpecialistRole Overview:We are seeking a Claims Processing Specialist who can handle health insurance claims with accuracy and empathy. This role involves processing and evaluating claims, verifying policy coverage, and coordinating with customers and hospitals for smooth settlement.Responsibilities:Process and evaluate health...

About the Role">Our client is seeking a skilled EDI tester to validate healthcare EDI transactions such as 834, 837, and 847. The ideal candidate will have hands-on experience with Facets, SQL, and US healthcare domain knowledge, including claims, enrollment, and benefits.Required Skills and Qualifications

We are seeking a senior process leader to take on a key role in our Mysore, India location.Role: Process Improvement SpecialistJob Level: Senior ExecutiveExperience: 1-3 Years of working experience required.Location: Mysore, India.The ideal candidate will have strong analytical and problem-solving skills to identify issues and implement efficient...

Healthcare AdministratorWe are seeking an experienced professional to oversee the administration of healthcare services. The ideal candidate will have a strong background in healthcare management and excellent communication skills.The successful candidate will be responsible for handling patient billing processes, coordinating with insurance companies and...

Transform Your Career as a Freelance Data Scientist in Healthcare ClaimsA seasoned Data Scientist with expertise in extracting, analyzing, and interpreting large-scale claims and provider datasets is sought after to uncover actionable insights and drive strategic initiatives in the healthcare space.Main Responsibilities:Extract and Transform Data: Cleanse,...

Health Insurance Claims Manager RoleThis is a high-impact opportunity to lead and manage the end-to-end claims process for our customers.As part of this role, you will serve as the primary liaison between clients, insurers, TPAs, and healthcare providers to ensure claims are handled smoothly, accurately, and on time.Key Responsibilities:Manage the complete...

Job Opportunity:Lead our team as a seasoned expert in healthcare data and operations, leveraging in-depth knowledge of clinic operations, EHR/EMR systems, billing, coding, and healthcare data management.Key Responsibilities:Manage end-to-end clinic workflows, including front desk, clerical tasks, patient assistance, and scheduling.Train and support staff on...

Job Title: Healthcare Data Engineer - AI/ML EnablementAs a highly skilled Healthcare Data Engineer, you will play a key role in supporting our organization's mission to leverage advanced data preparation and management capabilities for AI-driven analytics and automation.Job DescriptionWe are seeking an experienced professional with strong expertise in...

Medical Billing Specialist RoleWe are seeking a skilled and detail-oriented Medical Billing Specialist to manage billing processes, ensuring timely and accurate submission of claims and efficient processing of payments.Key ResponsibilitiesProcess claims accurately and within deadlines, adhering to payer guidelines and regulations.Analyze and address billing...

Hiring: US Medical Biller / Coder – RCM (Prior Auth, AR, Denial Management)We're expanding our US Medical Billing team in India and looking for experienced Billers/Coders to work under an expert Billing Manager.Key Responsibilities:Process charge entry, payment posting, and claim submissionManage denials, appeals, and AR follow-upsHandle prior...