US Healthcare Claims Processing Professional

Job Title: Senior Process ExecutiveKey ResponsibilitiesOur organization seeks a seasoned professional to fill this role. The ideal candidate will possess strong analytical and problem-solving skills, as well as the ability to work effectively in a fast-paced environment.Strong analytical and problem-solving skills are essential for determining the root cause...

Job Title:Medical Billing SpecialistJob Type: Full-time (work from home)Work Days: Monday to Friday Work Hours: 8:30 am to 5 pm [as per MT timezone]; Nightshift in IndiaHolidays: as per the US CalendarExperience: 1+ year in US healthcare industryResponsibilities:Submit and follow up on claims with insurance companies to receive payment for services rendered...

Job Role: Healthcare Revenue Cycle ProfessionalAbout the Position:We are seeking a skilled and experienced individual to join our healthcare revenue cycle team. As an AR Caller, you will be responsible for making outbound calls to US healthcare insurance companies, resolving outstanding claims, and ensuring timely reimbursement for healthcare providers.Key...

Health Insurance Claims ProfessionalOur organization seeks a highly skilled and empathetic Health Insurance Claims Professional to handle claims with accuracy, fairness, and efficiency.This role requires strong analytical skills to evaluate health insurance claims, as well as excellent communication skills to coordinate with hospitals, TPAs, and...

Job Title:Claims ManagementJob Overview:The Claims Management Specialist is responsible for efficiently and accurately processing cashless insurance claims.Key responsibilities include verifying policy coverage, providing customer service, coordinating with healthcare providers, resolving issues, maintaining records, adhering to service level agreements, and...

About the RoleAs a claims professional, you will play a critical role in end-to-end claims analysis and verification of policy/claims documents.You will be responsible for setting up and processing claims, as well as communicating with involved claim parties.Maintenance of records of activities and management of day-to-day production to ensure service level...

Job Title: Registered NurseRole OverviewWe are seeking a highly skilled and compassionate healthcare professional to provide high-quality patient care.Key Responsibilities:Deliver exceptional patient care and implement individualized plans of careAssess patients' physical and emotional needs, and develop strategies to meet those needsCollaborate with other...

Medical Billing Quality AuditorThis role involves ensuring accuracy, compliance, and efficiency in the revenue cycle process by reviewing claims, payments, denials, and related workflows.Key Responsibilities:Audit medical billing claims, payment posting, denials management, AR follow-ups, and credentialing tasks against company SOPs and client...

Healthcare Data Engineer – AI/ML Enablement Job SummaryWe are seeking a skilled Healthcare Data Engineer to support our organization's AI/ML initiatives through advanced data preparation and management.This role involves cleaning, rationalizing, normalizing, and integrating large healthcare datasets (claims, member, provider, clinical data) to ensure...

Insurance Claims Settlement SpecialistThis role involves overseeing the entire insurance claims settlement process from submission to final resolution. The ideal candidate will assess claims, investigate their validity, coordinate with adjusters, and ensure timely and fair settlements.The Insurance Claims Settlement Specialist is responsible for handling the...