Healthcare Claims Resolution Specialist

Job OverviewWe are seeking a skilled professional to handle claims adjudication, authorization, and resolution processes.Key Responsibilities:Process and resolve claims for payment and denial in a timely mannerHandle authorization, COB, duplicate, pricing, and corrected claims processes with accuracyEnsure the accurate and efficient completion of...

Job Summary">We are seeking a seasoned Quality Assurance Specialist with expertise in US Healthcare claims adjudication.">Main Responsibilities">Perform quality audits for healthcare claims processing to ensure accuracy and compliance.Conduct RCA, CAPA, and Six Sigma analysis to identify areas for improvement.Develop and implement process improvements to...

Job OverviewWe are seeking a skilled professional to fill the role of Healthcare Insurance Claims Specialist. This position requires strong analytical and communication skills, as well as the ability to work in a fast-paced environment.Key ResponsibilitiesRead and understand process documents provided by clientsAnalyze insurance claims and process according...

Job Role: Insurance Claim Resolution SpecialistKey ResponsibilitiesEnsure timely follow-up with US insurance companies to resolve denied or unpaid medical claims.Oversee appeals, refiling, and denial resolution processes to achieve optimal outcomes.Meet productivity targets in claim follow-up while maintaining high quality standards.Accurately document...

AR Specialist PositionWe are seeking an experienced AR specialist to contact insurance companies and patients regarding outstanding medical claims. The successful candidate will ensure accurate reimbursement and maintain thorough records of interactions.Key Responsibilities:Initiate calls to inquire about denied claims status.Maintain detailed records of all...

Job Summary:We are seeking a highly skilled Sr. Process Executive to join our team in the US Healthcare (Claims) department.The ideal candidate will have experience in claims adjudication in the US healthcare industry and be proficient in coding (ICD, CPT, HCPCS).Strong analytical skills, effective communication, teamwork, and problem-solving abilities are...

Claims and Denials Resolution SpecialistProcess adjudication claims and resolve for payment and denials in a timely and accurate manner.This role requires strong analytical skills, excellent communication skills, and the ability to work independently.Key Responsibilities:Process adjudication claims and resolve for payment and denialsKnowledge of healthcare...

Dental Claims SpecialistWe are seeking a skilled Dental Claims Specialist to join our team. As a key member of our operations, you will play a vital role in ensuring the smooth processing and submission of dental insurance claims.Your primary responsibilities will include preparing and submitting accurate and timely dental insurance claims, posting insurance...

Job Title: Healthcare Insurance Claims ProfessionalWe are seeking a skilled and experienced professional to join our team as a Healthcare Insurance Claims Professional. In this role, you will be responsible for processing claims and resolving payment denials in a timely and accurate manner.Key Responsibilities:Process claims and resolve payment...

Health Insurance Claims ProfessionalWe are seeking a skilled Health Insurance Claims Professional to process and evaluate health insurance claims with accuracy and fairness.The ideal candidate will have experience in health insurance claims handling/management and possess a strong understanding of insurance processes & regulations.A key responsibility of the...