US Healthcare Claims Specialist

US Healthcare Claims Executive Job Summary">We are seeking a highly skilled US Healthcare Claims Executive to join our team. This role will play a key part in driving process excellence and efficiency in the US Healthcare Claims domain.

About this role:As an EDI specialist, you will be working with a global team to develop innovative solutions for leading healthcare companies.This opportunity allows you to make a significant impact in the industry.A minimum of 4-6 years of hands-on testing experience, preferably in QEA Testing and the healthcare domain.In-depth understanding of US...

Medical Claims Specialist RoleThis position involves reaching out to insurance companies and patients to follow up on outstanding medical claims, ensuring accurate reimbursement. As a Medical Claims Specialist, you will navigate complex billing and coding rules, playing a critical role in denial management.Key Responsibilities:Follow-up and...

We are seeking a seasoned professional to fill an oncology billing and collections role. The ideal candidate will have at least 3 years of experience in this field, with excellent communication skills and the ability to handle complex claim resolutions while ensuring compliance with industry standards.Key Responsibilities:Contact insurance companies to...

Health Insurance Claims Representative Job SummaryWe are seeking a Health Insurance Claims Representative to join our organization. In this role, you will serve as the bridge between customers, hospitals, and insurers, handling claims with accuracy, empathy, and efficiency.Key Responsibilities:Process and evaluate health insurance claims with accuracy and...

Claim Center Configuration SpecialistThis role involves configuring Claim Center to meet the needs of clients.A strong background in configuration is essential.Familiarity with Agile methodologies and project management tools is beneficial.Certifications in Claim Center are also a plus for this position.We're seeking an individual with excellent...

We are seeking a skilled Guidewire Claim Center Configuration Specialist to join our team. As a specialist in this role, you will be responsible for configuring Guidewire Claim Center and creating and maintaining configuration artifacts.The ideal candidate will have experience with Guidewire Claim Center configuration and development, as well as strong...

About Our Claims Management Specialist RoleWe are seeking a highly skilled and experienced Claims Management Specialist to join our team. As a Claims Management Specialist, you will be responsible for efficiently and accurately processing cashless insurance claims, ensuring timely closure to policyholders and seamless coordination with insurance...

Healthcare Claims AnalystWe are seeking a skilled Freelance Data Scientist to analyze large-scale claims and provider datasets using advanced SQL skills.Extract, clean, and transform data from various sources.Develop and optimize SQL queries, stored procedures, and ETL scripts for efficient data extraction and transformation.Apply statistical methods and...

Guidewire Claim Center QA SpecialistAbout the PositionWe are seeking a highly skilled and experienced Guidewire Claim Center QA professional with strong knowledge of software testing methodologies.Experience in Agile projects and testing in Claim Center is essential for this role.Responsibilities:Collaborate with Scrum Masters to demonstrate user...