Medical Claims Specialist

Job Title: Healthcare Claims SpecialistKey Responsibilities:Manage healthcare claims processes for the US market.Develop and implement effective claims adjustments strategies to optimize reimbursement rates.Utilize ICD, CPT, and HCPCS coding systems to accurately process claims.Required Skills and Qualifications:Proven experience with claims adjudication...

We are seeking a highly skilled Claims Specialist to join our team.Job SummaryThis is a challenging and rewarding role that involves processing and managing cashless insurance claims efficiently and accurately, ensuring timely closure to policyholders and seamless coordination with insurance providers.Key ResponsibilitiesCashless Claims Management: Manage...

Medical Billing Specialist RoleThis position involves overseeing the medical billing process, ensuring timely and accurate submission of claims to healthcare payers.Key Responsibilities:Verify patient insurance coverage and eligibility for services.Review coverage details to ensure a seamless experience for patients and providers.Follow up on authorizations...

Billing & Claims SpecialistWe are seeking a skilled professional with dental insurance experience to excel in our growing team. The ideal candidate is detail-oriented, organized, and familiar with dental billing processes.Prepare and submit dental insurance claims accurately and in a timely manner.Post insurance and patient payments in practice management...

Claims Settlement ProfessionalWe are seeking a seasoned Claims Settlement Specialist to oversee the entire claims settlement process from inception to resolution.Key ResponsibilitiesClaims Processing: Handle the entire claims process, from reviewing submitted documentation to determining eligibility based on policy coverage.Data Analysis: Analyze data...

Claims Development ExpertWe are seeking a skilled Claims Development Expert to join our team.Develop and enhance the portal on the ClaimCenter module to improve user experience and functionality.Collaborate with a team of developers to implement configurations and integrations, ensuring seamless system operations.The ideal candidate will possess:A minimum of...

Medical Specialist NeededWe are seeking a skilled medical specialist to join our healthcare team. The ideal candidate will be dedicated to providing exceptional patient care and contributing to the improvement of sexual health.Key Responsibilities:Deliver high-quality medical consultations for individuals seeking specialized careWork part-time hours, with...

Job Title: Medical Coding SpecialistSummary:The primary responsibility is to accurately assign codes to patient data for reimbursement and research purposes.Job Description:Key Responsibilities:Coding of patient data using the ICD-10 coding system.Ensuring accurate and complete data entry into the database.Reviewing medical records for completeness and...

About Guidewire Claim Center Data Mapper Role">Seeking a skilled professional to support the migration of claims data from legacy systems to Guidewire Claim Center. This role requires strong insurance industry knowledge, expertise in SQL, and hands-on experience mapping data between legacy tables and Guidewire Claim Center.The ideal candidate will have a...

Job Title: Medical Coding SpecialistSurgery Coding ExpertiseWe seek a highly skilled and experienced Surgery Coding Specialist to deliver exceptional medical coding services.Key Responsibilities:Apply medical coding knowledge to ensure accurate and compliant coding practices.Conduct thorough audits and reviews of medical records to guarantee compliance with...