Senior Process Executive Role for US Healthcare Claims

Job DescriptionOur organization is seeking a Claims Specialist to join our team. This role involves processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers.The ideal candidate will have excellent communication skills to communicate with employees...

Role Overview:The Medical Claims Specialist is responsible for ensuring seamless reimbursement processing for healthcare services.Claims Submissions: Accurately submit and follow up on claims with insurance providers to secure timely payments.Patient Insurance Verification: Verify patient insurance coverage, prepare and process billing information, review...

Job Title: Health Insurance Claims SpecialistAbout Us:We are a leading innovator in the education ecosystem, transforming the 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 Indian...

Job Title: Data Management SpecialistAs a seasoned professional, we are seeking an individual to join our team as a Data Management Specialist.This role involves leveraging expertise in clinic operations, EHR/EMR systems, billing, coding, and healthcare data management to guide teams, improve workflows, and ensure compliance with healthcare standards.Key...

Job Title:Healthcare EDI TesterPerform functional and regression testing of EDI transactions.Validate inbound and outbound EDI files using tools like AE2, EDIFACTS, and Facets.Analyze requirement documents and create test scenarios, test cases, and mock data.Execute batch jobs and validate data flow across systems.Key Responsibilities:Functional Testing:...

Job DescriptionThe Healthcare Product Specialist bridges sales, product, and demo engineering by designing realistic demo scenarios, defining business outcomes, and representing the user perspective. This specialist ensures all demos align to practical workflows, working closely with the Demo COE, Product, and Infra teams.This role is strictly involved in...

We are seeking a professional to join our organization as an OCR/ML/NLP/FastAPI engineer.Key Responsibilities:Develop robust APIs with FastAPI for healthcare claim automation.Work on real-world data impacting millions of patients, optimizing OCR/NLP/ML models for improved accuracy and efficiency.Collaborate with product and operations teams to deliver...

Job Title: Senior Healthcare Recruitment SpecialistPosition Overview:We are seeking a senior-level healthcare recruitment specialist to lead our end-to-end recruitment process for doctors, leadership positions, and university hiring. This is a high-profile role that requires strong expertise in healthcare recruitment.Responsibilities:Develop and implement...

Job Opportunity: Claims ExpertWe are seeking a skilled and analytical professional to join our team as a Claims Expert. In this role, you will be responsible for managing claims from start to finish, ensuring timely submissions, and optimizing results.The ideal candidate will have a strong understanding of contract clauses, excellent communication skills,...

Quality Assurance Engineer Job OpportunityWe are seeking an experienced Quality Assurance Engineer to test and ensure the quality of Guidewire Claim Center.The successful candidate will be responsible for effectively demonstrating user stories and converting business scenarios into test cases.Strong knowledge of Software Testing Life Cycle (STLC) and...