Healthcare Claims Specialist

About the RoleThis is an exciting opportunity to join our team as a Healthcare Claims Examiner! In this role, you will be responsible for reviewing and processing claims, identifying potential issues, and working with clients to resolve disputes.You will need to have a strong understanding of healthcare insurance policy concepts, including in-network and...

Key ResponsibilitiesProcess and adjudicate claims in a timely and accurate mannerIdentify and resolve issues related to claims processing, including denials, authorizations, and pricingDevelop and maintain a thorough understanding of healthcare insurance policy concepts and industry trendsWork collaboratively with internal teams to resolve complex issues and...

About the RoleWe are looking for a highly skilled Outbound Healthcare Specialist to join our team at HCLTech. As an Outbound Healthcare Specialist, you will be responsible for making outbound calls to healthcare providers and insurers to follow up on claims and payments.Your Key ResponsibilitiesMaking outbound calls to healthcare providers and insurers to...

About the Role:Athena Health is committed to creating a thriving ecosystem that delivers accessible, high-quality, and sustainable healthcare for all. As a Medical Claim Resolution Specialist, you will play a critical role in helping us achieve this vision.In this role, you will be responsible for resolving complex client cases by understanding client and...

About This RoleWe are seeking a highly skilled Healthcare Claims Processor to join our team at NTT DATA North America. As a key member of our operations team, you will be responsible for processing insurance claims in a timely and qualitative manner.**Responsibilities**- Process insurance claims efficiently and accurately- Meet and exceed production,...

**Job Summary:**We are looking for a talented professional to fill the position of Global Healthcare Support Specialist. As a key member of our team, you will be responsible for contacting international insurance companies to verify claim status.To succeed in this role, you must possess excellent communication and analytical skills, be able to work...

Athena Health is a leading healthcare technology company that aims to create a thriving ecosystem delivering accessible, high-quality, and sustainable healthcare for all.We are seeking an experienced Healthcare Operations Specialist to join our Operations team. This role will be responsible for working on resolving claims and tasks associated with US...

**Company Overview:**We are NTT DATA, a leading IT services provider dedicated to delivering innovative solutions that transform businesses.**Job Description:**As an Insurance Claims Resolution Specialist at NTT DATA, you will be responsible for resolving claims in a timely and accurate manner. You will work closely with clients to identify outstanding...

About this role:The Wells Fargo Foundation is seeking a highly skilled Claims Resolution Specialist to support and capture all pertinent information from customers about their claims. This individual will conduct research and provide updates on the status of new and existing claims, identifying opportunities to improve customer experience through thorough...

Firstsource is a leading company that delivers exceptional results in the US Healthcare Payer System. We are seeking an experienced SME - Claims professional to join our team and contribute to our mission of excellence.Job Summary:This is an outstanding opportunity to leverage your skills in Claims Adjudication and make a meaningful impact on our...

We are looking for a skilled Healthcare Policy and Procedure Specialist to join our team at Firstsource.About the Role:The ideal candidate will have a strong background in technical writing, with a focus on business operations policies and procedures. They will be responsible for developing and maintaining high-quality documentation that meets organizational...

Job Description**About the Role**We are seeking an experienced Claims Operations Specialist to join our team at NTT DATA North America. As a key member of our operations team, you will be responsible for processing insurance claims in a timely and qualitative manner.**Responsibilities**- Process insurance claims efficiently and accurately- Meet and exceed...

About the RoleWe are seeking skilled professionals to join our healthcare team in resolving claims and payments for healthcare providers and insurers. The successful candidate will be responsible for making outbound calls, investigating and resolving issues with denied or underpaid claims, maintaining accurate records, and achieving critical performance...

At Firstsource, we are seeking a skilled Healthcare Operations Policy Specialist to lead the development and maintenance of comprehensive business operations policies and procedures.The successful candidate will collaborate with cross-functional teams to gather information and ensure documentation accuracy. They will create clear, concise, and user-friendly...

UST is looking for a talented Healthcare IT Specialist to work on our Genesys Cloud project. The ideal candidate will have extensive knowledge of healthcare IT systems and experience working with cloud-based technologies.Key responsibilities include collaborating with cross-functional teams to design and deploy cloud-based solutions for healthcare clients.A...

At Athena Health, we're committed to creating a healthier future for individuals, families, and communities nationwide.We're seeking a skilled Claims Resolution Manager to join our Operations team. This critical role will focus on resolving complex claims and tasks associated with US healthcare Revenue Cycle Management (RCM).Responsibilities and...

About the PositionHCLTech is hiring freshers with excellent communication skills to join our team in the healthcare voice department. As a Healthcare Analyst, you will be responsible for making outbound calls to healthcare providers and insurers, investigating and resolving issues with denied or underpaid claims, maintaining accurate records, and achieving...

Job Description:In this role as an AR Medical Billing Specialist at Green Success Infotech, you will be responsible for following up on unresolved claims by making outbound calls to patients and insurance companies. You will investigate and address underpayments, rejections, and claim denials. Additionally, you will examine Explanation of Benefits (EOBs) for...

About Our TeamWe are a dynamic team of professionals dedicated to providing exceptional customer service in the healthcare industry.Job DescriptionWe are seeking a skilled Healthcare Analyst to join our team in resolving claims and payments for healthcare providers and insurers. The successful candidate will be responsible for making outbound calls,...

JOB DESCRIPTIONRole: Specialist - Amazon Claims & AppealsExp: 6-8 yearsLocation: RemoteAbout us:OJ Commerce (OJC), a rapidly expanding and profitable online retailer, is headquartered in Florida, USA, with a fully-functional office in Chennai, India.We deliver exceptional value to our customers by harnessing cutting-edge technology, fostering innovation, and...