Claims 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...

Health Claims Adjudication SpecialistWe are seeking a skilled Health Claims Adjudication Specialist to join our organization. The ideal candidate will have 1-3 years of experience in health claims adjudication and possess excellent computer skills, including data entry and word processing.The key responsibilities of this role include:Handling various...

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...

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...

Senior Claims Examiner RoleThis role involves claims adjudication and adjustment, focusing on professional (HCFA) and institutional (UB) claims. The ideal candidate will have 2-3 years of experience in handling authorization, COB, duplicate and pricing processes. They should also be knowledgeable about healthcare insurance policy concepts, including...

Our Claims Handler role is focused on effectively processing insurance claims in a timely and qualitative manner.The successful candidate will be responsible for reviewing medical documents, policy documents, and policy history to make informed decisions regarding claims. They must also analyze customer inquiries, provide detailed and ordered responses, and...

Job Title: Insurance Claims ProcessorAs a professional in our Healthcare and Insurance Operations team, you will be responsible for processing insurance claims efficiently and effectively. Your primary objective is to analyze complex insurance claims and process them according to standard operating procedures.Key Responsibilities:Analyze insurance claims and...

Claims Data SpecialistAbout the Role:This is a key position within our team, requiring an experienced professional to manage data creation and analysis for claims-related projects. The ideal candidate will have extensive knowledge of facets in the claims domain and excellent communication skills.Mandatory Skills:Strong technical background with experience in...