Claims Examiner

Job OpportunityThis role involves reviewing and analyzing claims, itemized bills, and medical records to ensure the accuracy of charges, compliance with payer guidelines, and adherence to contractual agreements.Key ResponsibilitiesReview claims, bills, and supporting documentation for completeness and accuracy.Verify that billed services are supported by...

Healthcare Claim SpecialistWe are seeking a skilled and detail-oriented Healthcare Claim Specialist to join our team.This role involves reviewing, analyzing, and validating claims, itemized bills, and medical records to ensure accuracy of charges, compliance with payer guidelines, and adherence to contractual agreements.The ideal candidate will have...

Job Title:Title Examiner PositionWe seek a skilled Title Examiner to conduct second-level reviews of title searches and examinations.Verify proper name runs, title chain, and conveyance history for accuracy and continuity.Detect and correct missed documents, unreleased liens, open mortgages, and outstanding judgments.Evaluate examiner output to prevent...

Medical Insurance Specialist Job DescriptionThe role of a Medical Insurance Specialist is to verify insurance benefits and eligibility for sleep studies, DME, and related procedures. This position is crucial in supporting both our sleep studies and DME services.Responsibilities:Verify insurance benefits and eligibility for sleep studies, DME, and related...

Job Role: Customer Support AssociateDeliver exceptional support to international customers, ensuring timely resolution of issues.Verify customer eligibility and process claims submissions in adherence to US health insurance guidelines and regulations.Examine EOB forms to guarantee accurate payments from insurance companies.Collaborate with relevant parties,...

Optum is a global organization that delivers care aided by technology to help millions of people live healthier lives The work you do with our team will directly improve health outcomes by connecting people with the care pharmacy benefits data and resources they need to feel their best Here you will find a culture guided by inclusion talented peers ...

A patent attorney's job involves helping clients protect intellectual property by drafting and prosecuting patent applications, conducting patent searches, and advising on patent strategy. They also handle intellectual property (IP) litigation, license agreements, due diligence for business transactions, and portfolio management, requiring both a law degree...

Job Title: Insurance Claims ExaminerWe are seeking an experienced Insurance Claims Examiner to support our claims processing and management team. The successful candidate will have a proven track record of evaluating and processing insurance claims while ensuring compliance with industry standards.The ideal candidate will possess strong analytical,...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers,...

Preparing and submitting billing data and medical claims to insurance companies. - Ensuring the patient’s medical information is accurate and up to date. - Preparing bills and invoices, and documenting amounts due for medical procedures and services. - Collecting and reviewing referrals and pre-authorizations. - Monitoring and recording late payments. -...

**Job description** - **Responsibilities**:_ AR Management and organization. Audit data to ensure claims are clean. Prepare and submit billing data and medical claims to insurance companies. Ensure the patient’s medical information is accurate and up to date. Prepare bills and invoices, and document amounts due for medical procedures and...

We are looking for an Hospital Billing Executive to manage our company Roles and Responsibilities: - Preparing and submitting billing data and medical claims to insurance companies. - Ensuring the patient’s medical information is accurate and up to date. - Preparing bills and invoices, and documenting amounts due for medical procedures and services. -...

Medical coder involves systematically translating medical terminology into unique and professional codes for medical personnel and insurance companies to understand and interpret in the course of carrying out the duties. Should have knowledge of ICD and CPT guidelines.Key Responsibilities The daily duties of a medical coder include a variety of tasks...

Job Description Job description Novel Office is looking for In - House litigation Counsel to join our dynamic team and embark on a rewarding career journey. - Client representation : You will act as the legal representative for clients involved in civil or criminal cases. This involves understanding and advocating for their legal position, gathering...

The BDS or MDS Doctor (Dentist) offers top-notch dental care, which includes identifying problems, developing treatment strategies, carrying out operations, and providing preventative care. A thorough understanding of dental science, excellent patient communication abilities, and productive clinical work are required for this position. Patient care and...

**Responsibilities**: - **Deliver Engaging English Lessons**: - Design and implement comprehensive English language and literature curricula that align with educational standards and foster students' language proficiency, analytical skills, and appreciation for literature. - Create a supportive and inclusive classroom environment where students feel...

JOB DETAILS 1. Prevent the payment of potentially fraudulent and/or abusive claims utilizing medical expertise, knowledge of CPT/diagnosis codes, CMC guideline along with referring to client specific guidelines and member policies2. Adhere to the state and federal compliance policies and contract compliance 3. Assist the prospective team with special...