Medical Claims Specialist

Senior Manager, Medical RCMLeading a team of claims management specialists is an exciting opportunity to shape the future of work.As Senior Manager, Medical RCM, you will oversee the planning, organization, direction, and implementation of all claims management processes to ensure accuracy and timeliness of claim submissions, collections efforts, and payment...

Basic FunctionHandle and administer Family & Medical Leave Act standalone (as well as other leave) claims and adhere to federal andstate regulatory and/or company plan requirements and established FMLA workflow proceduresComplete eligibility decisions and review for entitlement, gather pertinent data when necessary, from employee, physicians office or...

Job Opportunity:Healthcare Claims SpecialistWe are seeking a detail-oriented and skilled individual to join our team as a Healthcare Claims Specialist. In this role, you will play a crucial part in managing and following up on outstanding healthcare claims to ensure timely collections.This position requires strong communication and negotiation skills to...

Job Title:We are seeking a skilled Claims Specialist to manage hospital billing denials and resolve customer issues effectively.About the Role:This is a remote work opportunity, where you will be working from home/office on night shifts.Responsibilities:Handle hospital billing denial management, claims follow-up and customer service with strong communication...

Review application on applicant pre-existing medical condition, claim history & personal habits by applying underwriting rules. Review and Analyze risk basis on health insurance applications, medical reports & other relevant document to assess risk. Required Candidate profileDegree – BHMS/BDS/BPT/BAMS.Exp. – 1+ yrs. in any TPA/Insurance company (Fresher...

The Senior Medical Billing and Collections Manager position is a critical role in ensuring the accuracy and timeliness of claim submissions, collections efforts, and payment distribution. The ideal candidate will oversee the planning, organization, direction, and implementation of all claims management processes and controls to meet compliance...

Job Title: Claims SpecialistIn this role, you will have end-to-end knowledge of claim lifecycle management and P&C products. Your responsibilities include handling new transitions from strategic assessment through to operations set up with zero surprise delivery.Develop a comprehensive understanding of claim lifecycle managementEnsure seamless transition...

Create the future of e-health together with us by becoming an Associate/Sr. Associate- Claims ManagementAt CompuGroup Medical, our mission is to build groundbreaking solutions for digital healthcare. We aim to revolutionize how healthcare professionals produce, access, and utilize information, enabling them to focus on the core value of their work: patient...

Job Description:We are seeking a detail-driven professional to join our billing operations team as an Unbilled Claims Management Specialist.This role involves monitoring and managing unbilled claims to ensure timely submission and reimbursement, investigating root causes of unbilled claims, collaborating with pharmacy, intake, and billing teams, tracking and...

Claims Resolution SpecialistPrimary Responsibilities:Engage in outbound calls to insurance companies to follow up on outstanding claims.Understand and resolve claim denials or rejections to ensure timely payment.Verify patient insurance information and update accounts accordingly.Document call details, follow-up actions, and claim status for future...