Senior Claims Resolution Specialist

Key Role in Medical Claims Management:AR Specialists initiate calls to insurance companies to clarify outstanding medical claims and ensure accurate reimbursement.Navigating Complex Billing Rules:AR specialists play a critical role in managing denied claims, requiring in-depth knowledge of billing and coding regulations.Effective Denial Resolution:They work...

We are seeking a seasoned specialist to join our team in oncology billing and collections. This role requires expertise in claim resolutions while ensuring compliance with industry standards.Establish effective communication channels with insurance companies to follow up on oncology-related claims and resolve outstanding accounts receivable.Conduct thorough...

Senior Claims Examiner RoleThis role involves claims adjudication and adjustment, focusing on professional (HCFA) and institutional (UB) claims. The ideal candidate will have 2-3 years of experience in handling authorization, COB, duplicate and pricing processes. They should also be knowledgeable about healthcare insurance policy concepts, including...

Job SummaryWe are seeking a skilled and experienced professional to fill the role of Senior Claims Operations Associate. This individual will be responsible for managing claims processes, ensuring timely and qualitative resolutions, and meeting production and quality goals.Process insurance claims efficiently and effectively, adhering to company policies and...

Senior Account Resolution SpecialistWe are seeking a detail-oriented Senior Account Resolution Specialist to join our team.Key Responsibilities:Review patient accounts for accuracy and completeness, ensuring timely and accurate payment posting.Contact insurance companies to follow up on outstanding claims, resolving denials and rejections by identifying and...

Job Summary:We are seeking a highly skilled Health Claims Specialist to join our team.About the Role:Process and adjudicate health claims in a timely mannerAnalyze claim data to identify trends and areas for improvementCollaborate with internal teams to resolve claim discrepanciesRequirements:2+ years of experience in health claims processingStrong...

Our team is looking for an experienced professional to handle customer claims in a voice process environment.About the RoleThis role requires at least 5 years of experience in business process outsourcing.The ideal candidate will possess strong communication skills, a positive attitude and high computer literacy and typing skills.What We OfferA comprehensive...

Job DescriptionCompany DescriptionBajaj Allianz General Insurance Limited is a joint venture between Bajaj Finserv Limited and Allianz SE, renowned for its #CaringlyYours ethos. The company provides a comprehensive range of insurance services, including health, car, bike, pet, travel, home, cyber, and crop insurance. Bajaj Allianz General Insurance is one of...

Claims Management Leader\This is an exciting opportunity to lead and oversee a team of claims professionals in a fast-paced insurance environment. As Claims Management Leader, you will be responsible for ensuring smooth and efficient claims processing across cashless and reimbursement cases.\You will have strong expertise in handling Employee Benefits (EB)...

Medical Billing Specialist JobDescription Summary: A medical billing specialist is responsible for managing and analyzing medical claims to ensure accuracy and compliance with industry standards.Key Responsibilities:Process and analyze medical claims for errors or discrepanciesMaintain accurate records of claim processing and analysisPreferred...