US Healthcare Claims Process Manager

Position Overview:A seasoned process executive is required to oversee claims processing operations in the US healthcare sector. The ideal candidate will possess experience with claims adjustments, coding systems (ICD, CPT, HCPCS), and a strong analytical mindset.Key Responsibilities:Claims adjudication expertise in US healthcareStrong understanding of coding...

Health Insurance Claims Handler Job DescriptionJob Description:We are seeking a highly skilled and detail-oriented Health Insurance Claims Handler to join our team. As a Health Insurance Claims Handler, you will be responsible for processing and evaluating health insurance claims with accuracy and fairness.Key Responsibilities:Process and evaluate health...

Transform Lives through Health Insurance Claims ManagementWe are seeking an experienced professional to oversee and manage the end-to-end claims process for our customers.In 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...

Our Healthcare Engineering Leadership RoleTransforming healthcare by bringing it into the digital age with state-of-the-art platforms and integrated, interoperable ecosystems for all stakeholders.Overview of Our PositionAs a system design expert and exceptional people manager, we seek an Engineering Manager to lead our healthcare claims processing...

Effective denial management is a critical aspect of healthcare operations. By implementing efficient AR calling processes, medical facilities can recover more revenue from claims, reduce turnaround time, and enhance patient relationships.Key Responsibilities:Claim Resolution:Initiate calls to insurance companies to inquire about the status of denied claims...

About the role:We are seeking an experienced EDI specialist to join our team.The successful candidate will be responsible for validating healthcare EDI transactions, including claims and enrollment data.Key responsibilities include functional and regression testing of EDI transactions, analyzing requirement documents, and collaborating with offshore teams...

Job Title: Insurance Claims Resolution SpecialistAbout this role:The Insurance Claims Resolution Specialist plays a pivotal role in ensuring the efficient and accurate processing of cashless insurance claims. This individual is responsible for verifying policy coverage, reviewing medical records, coordinating with Insurers, and guaranteeing timely closure to...

Establish a leadership role in healthcare data operations to optimize clinic workflow efficiency and ensure compliance with industry standards.Key Responsibilities:Oversee end-to-end management of clinic processes, including front desk, clerical tasks, patient assistance, and schedulingDevelop and implement training programs for staff on electronic health...

Job OpportunityWe are seeking an experienced Data Scientist to join our team in a Freelance capacity. This position involves working with large-scale healthcare claims and provider data to uncover insights, build predictive models, and support data-driven decision-making.The ideal candidate will have expertise in SQL, Python, and statistical methods, as well...

Job Title: Claims ProfessionalWe are seeking a highly skilled claims professional to join our organization. As a claims professional, you will be responsible for handling demurrage and post-fixture claims with precision and accuracy.Main Responsibilities:Manage demurrage & post-fixture claims effectivelyLiaise with client teams, vessels, and agents to gather...