US Healthcare Claims Specialist

Claims Examiner Role Overview:We are seeking an experienced Claims Examiner to process and evaluate health insurance claims with accuracy and fairness.Responsibilities:Verify policy coverage, eligibility, and supporting documentsCoordinate with healthcare providers, third-party administrators, and policyholders for efficient claim settlementMaintain records...

Maximizing Process Efficiency in US Healthcare ClaimsJob Summary:We are seeking an experienced Senior Process Executive to lead process excellence initiatives and drive results for our clients.Key Responsibilities:Analytical Problem Solving: The ideal candidate will possess exceptional analytical skills, with the ability to identify root causes of issues and...

Job Title: Medical Claims Follow-Up SpecialistWe are seeking a skilled Medical Claims Follow-Up Specialist to contact insurance companies and patients to follow up on outstanding medical claims.The ideal candidate will have expertise in navigating complex billing and coding rules to ensure accurate reimbursement.Key Responsibilities:Initiate calls to...

Job Description:We are seeking an experienced professional to join our team as a Claims Data Specialist. This role requires strong technical skills, including expertise in creating test data within the Facets platform in the Claims domain.Key ResponsibilitiesHost client calls and drive discussions on data creation and testing.Lead a team of professionals in...

We are seeking a skilled Healthcare Data Engineer to support our AI and Machine Learning initiatives.In this role, you will work on advanced data preparation and management to ensure readiness for AI-driven analytics and automation. This includes designing and developing data solutions to support automated workflows, bots, and AI Agents that span legacy...

Job Title: Oncology Billing ProfessionalWe seek a seasoned professional with expertise in oncology billing and collections to enhance our team's capabilities.The ideal candidate should possess at least 3 years of experience in AR calling, specifically in oncology, excellent communication skills, and the ability to handle complex claim resolutions while...

Hiring for a Data & Operations Subject Matter Expert. We are seeking an individual with expertise in clinic operations, EHR/EMR systems, billing, coding, and healthcare data management.This role involves guiding teams, improving workflows, and ensuring compliance with healthcare standards. Key Responsibilities:Manage end-to-end clinic workflows including...

Healthcare IT SpecialistWe are seeking a highly skilled professional to lead the migration process for multiple roles in the US Healthcare domain.The successful candidate will have experience in healthcare IT with specific expertise in PACS consolidation and migration. Key skills include:Strong understanding of imaging workflows and interoperability...

Unlock a Career OpportunityA Health Insurance Claims Manager is needed to oversee and manage the end-to-end claims process for customers. This role requires serving as the primary liaison between clients, insurers, third-party administrators (TPAs), and healthcare providers to ensure claims are handled smoothly, accurately, and on time.The ideal candidate...

Healthcare Data ScientistWe are seeking a highly skilled Freelance Data Scientist with expertise in SQL, Python, and healthcare claims/provider data.The ideal consultant will leverage analytical expertise and domain knowledge to uncover insights, build predictive models, and support data-driven decision-making in the healthcare space.Extract, clean, and...