Healthcare Claims Analyst

Job Title:Data Analyst - Healthcare InsightsWe are seeking a skilled Data Analyst to join our team and contribute to the development of predictive models and data-driven decision-making in the healthcare space.About the Role:Analyze large-scale claims and provider datasets to uncover insights and identify trends.Develop and optimize SQL queries, stored...

Job Title: Healthcare Claims Specialist  Contact insurance companies to follow up on outstanding claims. Analyze and resolve billing issues by understanding denials. Maintain accurate documentation of interactions and claim statuses.  Requirements Effective communication skills are essential Basic understanding of healthcare or willingness to learn is...

Senior Medical Coding Auditor SIUDeveloping expertise in assessing trends and patterns in fraudulent healthcare claims requires deep knowledge of medical coding guidelines. The professional conducts thorough investigations into allegations of fraudulent and abusive practices.Key Responsibilities:Advances the organization's expertise in CPT HCPCS and ICD-10...

Healthcare Insurance Operations PositionJob Description:This role involves processing adjudication claims and resolving payment and denial issues in a timely and accurate manner. It requires knowledge of healthcare insurance policy concepts, including in-network and out-of-network providers, deductibles, coinsurance, copays, out-of-pocket maximums, and...

Job DescriptionThe Extended Service Business (ESB) Claim Analyst is responsible for evaluating claims related to Extended Service Business (Extended Warranty Contracts, Service Contracts etc) in accordance with the Terms and conditions of Contracts and as per Ford recommended repair / service procedures, thereby ensuring that quality repair / service has...

Job DescriptionAs a Claims Operations Associate, you will be responsible for processing claims adjudication and adjustment processes. You will have experience in professional HCFA and institutional UB claims, as well as knowledge of healthcare insurance policy concepts.Key Responsibilities:Audit claims as outlined by Policies and Procedures.Utilize...

Job Title: Insurance Claims AnalystAs an Insurance Claims Analyst, you will play a vital role in ensuring timely and qualitative processing of insurance claims. Your responsibilities will include reviewing medical documents, policy documents, policy history, claims history, system notes, and applying trained client-level business rules to make appropriate...

Job DescriptionWe are seeking a skilled professional to join our team as an AR Caller. The successful candidate will be responsible for contacting insurance companies, reviewing and analyzing denials, and addressing any discrepancies in the US Healthcare industry.This is a full-time on-site role that requires strong analytical skills, proficiency in...

Job PurposeThe Medical Claims Analyst is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.Duties and ResponsibilitiesFollow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websitesMeets and maintains daily productivity/quality standards established...

Job PurposeThe Medical Claims Analyst is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.Duties and ResponsibilitiesFollow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websitesMeets and maintains daily productivity/quality standards established...