Claims Operations Specialist

Job Summary:We are seeking a highly skilled Health Claims Specialist to join our team.About the Role:Process and adjudicate health claims in a timely mannerAnalyze claim data to identify trends and areas for improvementCollaborate with internal teams to resolve claim discrepanciesRequirements:2+ years of experience in health claims processingStrong...

Key Role in Medical Claims Management:AR Specialists initiate calls to insurance companies to clarify outstanding medical claims and ensure accurate reimbursement.Navigating Complex Billing Rules:AR specialists play a critical role in managing denied claims, requiring in-depth knowledge of billing and coding regulations.Effective Denial Resolution:They work...

We are seeking a seasoned specialist to join our team in oncology billing and collections. This role requires expertise in claim resolutions while ensuring compliance with industry standards.Establish effective communication channels with insurance companies to follow up on oncology-related claims and resolve outstanding accounts receivable.Conduct thorough...

We are seeking to recruit experienced Denial Management specialists for our medical billing operations in the US Healthcare Industry. This is an international voice-only role that requires individuals with excellent communication skills and a strong background in managing claim rejections.Roles and ResponsibilitiesThoroughly review work orders to ensure all...

Job SummaryWe are seeking a skilled and experienced professional to fill the role of Senior Claims Operations Associate. This individual will be responsible for managing claims processes, ensuring timely and qualitative resolutions, and meeting production and quality goals.Process insurance claims efficiently and effectively, adhering to company policies and...

Medical Billing Specialist JobDescription Summary: A medical billing specialist is responsible for managing and analyzing medical claims to ensure accuracy and compliance with industry standards.Key Responsibilities:Process and analyze medical claims for errors or discrepanciesMaintain accurate records of claim processing and analysisPreferred...

Job Overview:">The role of Claims Manager involves analyzing and processing claims in coordination with third-party administrators (TPAs) and insurance companies. This position requires effective leadership and communication skills to manage relations with TPAs/Insurers, ensure timely claim settlements, and provide excellent client experience."

About this roleJob DescriptionThis role involves providing excellent customer service by responding to customer inquiries and resolving their issues in a timely manner. The ideal candidate should have a basic understanding of internal policies, procedures, Visa and Master Card guidelines.ResponsibilitiesCustomer Service: Respond to customer requests in a...

HC Insurance Operations Specialist Role SummaryWe are seeking a results-driven HC insurance operations specialist to join our organization. The successful candidate will be responsible for processing adjudication claims, resolving payment and denial issues, and ensuring accurate and timely completion of transactions.The ideal candidate will have a solid...

Job OpportunityWe are seeking a highly skilled Claims Process Executive to fill this key position.About the Role:This role involves processing customer claims in a timely and efficient manner, ensuring seamless claim processing through effective collaboration with internal teams.Main Responsibilities: