Senior Process Executive for US Healthcare Claims

Key Responsibilities and ExpectationsWe are seeking a highly skilled Sr. Process Executive to manage the claims adjudication process in the US healthcare industry.Required Skills and QualificationsClaims Adjustments and Coding: The ideal candidate will have experience in claims adjustments and coding, including ICD, CPT, and HCPCS.No Surprises Act Project...

Insurance Claims SpecialistThe Insurance Claims Specialist plays a pivotal role in ensuring the efficient and accurate processing of cashless insurance claims.This involves verifying policy coverage, reviewing medical records, coordinating with insurers, and ensuring timely closure to policyholders.Key Responsibilities:Manage end-to-end cashless claims of...

Overview of the RoleThe Senior Associate is responsible for performing end-to-end claims analysis, verifying policy/claims documents, and managing day-to-day production to ensure Service Level Agreements (SLAs) are met.Key Responsibilities Include:Claims setup and payment processingClaims submission and trackingCorresponding with involved claim...

Job Title: Billing and Claims Specialist">At a premier healthcare institution, we are seeking a highly skilled Billing and Claims Specialist to join our team. This pivotal role involves managing in-patient and out-patient billing processes with utmost accuracy, ensuring seamless coordination with insurance companies, TPAs, and patients for efficient cashless...

Job Title:The Senior Leader of Marine Insurance and Claims Oversight is a pivotal role responsible for leading the department in ensuring comprehensive implementation of all marine insurance procedures across the company.This position requires a visionary leader who can act as the authorized point of contact and escalation for all Marine Insurance and Claims...

Job Title: Senior Business Analyst with Healthcare Domain Expertise">We are seeking a seasoned professional to lead our business analysis efforts in the healthcare domain. As a Senior Business Analyst with Healthcare Domain Expertise, you will play a key role in driving business growth and ensuring compliance with regulatory requirements.">Gather, Analyze,...

Job OverviewWe are seeking an experienced data scientist to analyze and interpret large-scale healthcare claims and provider datasets. The successful candidate will have a strong background in statistical methods and machine learning techniques, with expertise in SQL and Python.Responsibilities:Extract, clean, and transform data from various sources for...

Health Insurance Claims SpecialistWe are seeking a highly skilled and detail-oriented Health Insurance Claims Specialist to join our team. As a key member of our claims handling department, you will be responsible for processing and evaluating health insurance claims with accuracy and fairness.

Assistant Manager Role SummaryThe Assistant Manager is a key position within the Legal and Claims department. The primary responsibility involves handling legal issues related to claims matters.This entails monitoring and assisting in the recovery of costs and expenses incurred by third parties, ensuring accurate record-keeping and regular updates are...

Advanced OCR/NLP Model DeveloperWe are seeking a skilled engineer to develop and optimize OCR/NLP models for healthcare claim automation.Key Responsibilities:Design and implement robust APIs using Python and FastAPI.Work on real-world healthcare data impacting millions of patients, applying expertise in machine learning and natural language...