Leading Claims Operations

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 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...

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)...

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...

Job Summary:We are seeking an accomplished Senior Manager - Claims professional to lead and oversee the Employee Benefits claims team. The ideal candidate will possess strong stakeholder management skills, in-depth knowledge of health insurance processes, and regulatory frameworks.

**Job Summary:**We are seeking a highly skilled HC & Insurance Operations Associate to join our team.**Key Responsibilities:Process insurance claims in accordance with company policies and procedures.Review medical documents, policy documents, and system notes to make informed claims decisions.Stay up-to-date on new policies, processes, and procedures...

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...

Job DescriptionWe are seeking a highly skilled and experienced Claims Manager to join our team.This is an exciting opportunity for a seasoned professional to lead the handling of claims and legal matters within our organization.The successful candidate will be responsible for monitoring and managing all legal issues related to claims, as well as handling...

We are seeking to recruit experienced Denial Management specialists for our medical billing operations in the US Healthcare Industry. This is an international voice-only role that requires individuals with excellent communication skills and a strong background in managing claim rejections.Roles and ResponsibilitiesThoroughly review work orders to ensure all...

Job DescriptionWe are seeking a professional to make outbound calls to insurance companies to check claim status. The successful candidate will have excellent communication skills and be able to work effectively with payers on unpaid or denied claims.Responsibilities:Understand and resolve denials by coordinating with insurance representatives.Update the...