Medical Claim Reimbursement Specialist

Key Responsibilities:Contact insurance companies and patients to follow up on outstanding medical claims.Navigate complex billing and coding rules to ensure accurate reimbursement.Detailed Role in Denial Management:Initiate calls to insurance companies to inquire about denied claims.Maintain thorough records of interactions and follow-up actions.Re-submit...

Job Title: Healthcare Claims AnalystWe are seeking a skilled Healthcare Claims Analyst to join our team. As a key member of our team, you will be responsible for reviewing and processing healthcare claims in a timely and accurate manner.Your primary responsibilities will include:Reviewing claims for accuracy and completenessApplying knowledge of medical...

Secure Your Career as a Claims Management ProfessionalWe are seeking an experienced and skilled individual to join our team as a Claims Management Specialist.The successful candidate will be responsible for managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance...

Job Title: Medical Insurance Verification SpecialistWe are seeking a skilled and organized Medical Insurance Verification Specialist to join our fast-paced team. This role is vital to our operations, supporting sleep studies and DME services.Verify insurance benefits and eligibility for sleep studies, DME, and related procedures.Obtain prior authorizations...

Job TitleWe are seeking a seasoned Health Insurance Claims Specialist who possesses excellent communication and analytical skills.Ensure timely and accurate processing of health insurance claims.Collaborate with customers, hospitals, and insurers to resolve claims-related issues.Verify policy coverage, eligibility, and supporting documents for smooth claim...

We are seeking an experienced professional to process life insurance and living benefits claims for Canadian customers.Key Responsibilities:Analyze and resolve complex claims issues in a timely mannerCollaborate with onshore teams and clients to ensure efficient processing of claims transactionsMaintain accurate records and reports of claims...

Medical Equipment Specialist PositionWe are seeking a highly skilled medical equipment specialist to join our team. As a medical equipment specialist, you will be responsible for the maintenance and repair of medical equipment, ensuring that all equipment meets safety and performance standards.Main Responsibilities:Maintenance and repair of medical...

Billing Specialist Job Description: We are seeking a skilled Billing & Claims Specialist with dental insurance experience to join our team. The ideal candidate is detail-oriented and organized with the ability to manage multiple tasks simultaneously. Key Responsibilities: Submit Claims: Prepare and submit dental insurance claims accurately and in a timely...

Job OpportunityThe Assistant Manager role entails overseeing and addressing all legal matters related to claims, including recovery actions against third parties.Key Responsibilities:Verify receipt of claims within 24 hours and collect relevant documents for review by the HO.Provide counsel on claim merits and future courses of action, monitor and support HO...

We are seeking a skilled data transformation specialist to support the migration of claims data from legacy systems to Guidewire Claim Center.About the Role:Analyze and map legacy system tables to Guidewire Claim Center structures, ensuring accurate data mapping and minimal discrepancies.Develop and validate SQL queries for data extraction and...