Medical Claims Analyst

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (Member's Reimbursement) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements).Principal Accountability:Ensures accurate and timely processing of claims from medical service providers within authority limits. This...

Job OverviewClinicMind is seeking a skilled Medical Biller AR Follow-up Analyst to maximize insurance reimbursement for healthcare practice owners. This role involves identifying the root causes of medical insurance claim denials, underpayments, or delays and proposing resolutions.Key Responsibilities:Optimize insurance reimbursement for healthcare practice...

Job DescriptionWe are seeking a detail-oriented and organized individual to join our team as a Medical Claims Specialist. This role is responsible for processing medical claims, verifying insurance benefits, and managing the submission process.

Job SummaryThe Medical Billing Specialist is responsible for monitoring medical claims, investigating rejections and denials, and documenting account activities. This role involves posting adjustments, managing collections from various payers, and maintaining a deep understanding of eligibility requirements and payment methodologies.Key...

Job Title: Medical Claims SpecialistDescription:We are seeking an entry-level professional to fill the position of Medical Claims Specialist. This role involves reviewing and analyzing accounts receivables (A/R) reports to identify unpaid claims or patient balances.The ideal candidate will have excellent analytical skills, a keen eye for detail, and strong...

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This Sr. Claims Analyst position is responsible for the overall review, assessment, and decision of claims.Position Responsibilities:Determine eligible benefits based on documents submitted and policy provisions.Adjudicate claims and determine corresponding recommendation or decision within prescribed approval limits and within the defined turnaround...

Job ResponsibilitiesAcknowledge receipt of claim requests.Upload claim documents to the case in the health claims system.Validate claim details in the health claims system.Update claim status and notes in the health claims system.Update TPA file for endorsement to Claims Control Team.Adhere to service standards of processing administrative requests.Ensure...

Overview This Sr. Claims Analyst position is responsible for the overall review, assessment, and decision of claims. Responsibilities Determine eligible benefits based on documents submitted and policy provisions. Adjudicate claims and determine corresponding recommendation or decision within prescribed approval limits and within the defined turnaround time....

Job Responsibilities Acknowledge receipt of claim requests. Upload claim documents to the case in the health claims system. Validate claim details in the health claims system. Update claim status and notes in the health claims system. Update TPA file for endorsement to Claims Control Team. Adhere to service standards of processing administrative requests....