Medical Claims Advocate

Job DescriptionWe are seeking a highly skilled and experienced Medical Officer-Claims to join our team. As a key member of our organization, you will be responsible for dealing with patients' health care related documents, ensuring error-free processing of pre-authorisation within agreed turnaround times, and entering accurate information into the...

Insurance Claims ExaminerAbout the Position:We are seeking a highly skilled Insurance Claims Examiner to investigate reports of accidents/incidents, manage claims inventories, and advocate for claimants. As an integral member of our international claims team, you will gain exposure to claims handling protocols in various regions.Key...

Health Claim Specialist Role OverviewAs a Health Claim Specialist, you will be responsible for managing the claims process for our health product line and portfolio. This role involves coordinating with multiple teams and stakeholders to ensure seamless claims evaluation and settlement.Key Responsibilities:Evaluate health claim ratios to identify trends and...

Job Summary:We are seeking a skilled Medical Claims Resolution Specialist to join our team. In this role, you will be responsible for resolving medical claims across various specialties.Key Responsibilities:Follow up with insurance companies to ensure timely claims resolutionHandle denials, rejections, and appeals in accordance with regulatory...

Job Opportunity: Medical Claims ExaminerAs a medical claims examiner, you will play a crucial role in ensuring the accuracy of medical claims. Your responsibilities will include reviewing and scrutinizing claims, interpreting ICD coding, evaluating co-pay details, and classifying non-medical expenses.Key Responsibilities:Verify the medical admissibility of a...

We are looking for a highly skilled and detail-oriented professional to join our team as a Financial Claims Specialist. As a key member of the Revenue Cycle team, you will play a crucial role in ensuring accurate and timely claim submissions.The ideal candidate will have a solid understanding of medical billing processes and terminology, as well as...

We are seeking a highly skilled Medical Claims Specialist to process payments for services rendered and maintain patient records.Key Responsibilities:Process payments for medical services in a timely and accurate mannerMaintain patient files with complete and up-to-date billing informationCommunicate effectively with patients to resolve billing inquiries and...

Insurance Call SpecialistJob Description:Responsibilities include contacting insurance companies to follow up on unpaid or denied claims.Review and analyze Explanation of Benefits (EOBs) to identify reasons for denials or delays.Take corrective actions based on payer responses, including resubmissions, appeals, or adjustments.Update billing software with...

Job OpportunityWe are seeking highly skilled professionals to join our team in a key role of reviewing and denying medical claims that do not meet our criteria.Key Responsibilities:Minimum 3+ years of experience in relevant fields is required.Certification is mandatory for this position.Excellent knowledge of medical coding terminology and work processes is...

It usually contains one or more errors that were found before the claim was ever processed or accepted by the payer. A rejected claim is typically the result of a coding error, a mismatched procedure and ICD code(s), or a termed patient policy. These types of errors can even be as simple as a transposed digit from the patient’s insurance member number....