Insurance Claims Review Specialist

Job DescriptionThe Medical Insurance Accounts Receivable Representative is responsible for ensuring the timely collection of outstanding government or commercial healthcare insurance receivables.Key Responsibilities:Verify patient eligibility and/or authorization for healthcare services performed by searching payer web sites or client eligibility systems, or...

Job Title: Medical Claims SpecialistWe are seeking a highly skilled Medical Claims Specialist to join our team at Visaya Knowledge Process Outsourcing Corp. As a Medical Claims Specialist, you will be responsible for verifying patient eligibility and authorization, updating patient demographics and insurance information, and researching claims for missing...

Job Title: Medical Claims SpecialistWe are seeking a highly skilled Medical Claims Specialist to join our team at Visaya Knowledge Process Outsourcing Corp. As a Medical Claims Specialist, you will be responsible for verifying patient eligibility and authorization, updating patient demographics and insurance information, and researching claims for missing...

Customer Service Agent at Pie InsuranceThe Customer Service Agent at Pie Insurance is a key role in our team, responsible for handling inbound customer inquiries and providing exceptional support in the insurance industry. This role focuses on assisting customers with workers' compensation claims, specifically First Notice of Loss (FNOL) calls.Key...

Job SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at Visaya Knowledge Process Outsourcing. As a key member of our healthcare accounts receivable team, you will be responsible for verifying patient eligibility, obtaining authorizations, and resolving claims denials.Key ResponsibilitiesVerify patient eligibility and obtain...

Job Title: Medical Insurance Recovery RepresentativeThe Medical Insurance Recovery Representative at Visaya KPO plays a crucial role in the timely collection of outstanding government or commercial healthcare insurance receivables.Responsibilities:Verify patient eligibility and/or authorization for healthcare services by searching payer web sites or client...

Job Responsibilities:Claim Verification: Utilize various hospital and physician systems to ensure patient, billing, and claim information accuracy.Billing Compliance: Perform primary, secondary, and tertiary billing functions, including electronic, paper, and portal submission to government and commercial payers.Claim Editing: Edit claims to meet and satisfy...

Refund Specialist Insurance Job DescriptionThe Refund Specialist-Insurance role at Visaya KPO is responsible for reviewing accounts, identifying insurance overpayments and credit balances, and evaluating refunds according to current policies and procedures. Responsibilities include reviewing refund and overpayment requests from insurance payers to determine...

As the Operations Manager at Pie Insurance, you will oversee the daily operations of the customer service department, ensuring that all processes, particularly those related to FNOL calls and claims handling, are running smoothly. This role requires extensive experience in the insurance industry, strong leadership abilities, and a focus on optimizing...

Key Responsibilities:The Insurance Refund Specialist will be responsible for reviewing accounts, identifying insurance overpayments, and verifying refunds are issued in accordance with current policies and procedures. This role requires strong analytical skills, attention to detail, and excellent communication skills to effectively collaborate with various...

The Team Lead for Customer Experience at Datamatics Careers- Philippines will oversee a team of Customer Service Agents, ensuring that all inbound inquiries and FNOL claims are handled effectively. The role requires strong leadership skills and experience in the insurance industry, with a focus on customer care and claims management.Key Responsibilities:Lead...

Job Title: Refund Specialist - InsuranceThe Refund Specialist-Insurance is a key member of our revenue cycle team, responsible for reviewing accounts, identifying insurance overpayments and credit balances, and ensuring that refunds are issued in accordance with current policies and procedures.Key Responsibilities:Review refund and overpayment requests from...

Job Summary:We are seeking an experienced AR Team Lead to join our team at Visaya Knowledge Process Outsourcing Corp. The successful candidate will be responsible for leading our medical claims team and ensuring timely and accurate claims processing.Key Responsibilities:• Verify patient eligibility and obtain necessary authorizations• Update patient...

Job Title: Refund Specialist InsuranceThe Refund Specialist-Insurance is a key member of our revenue cycle team, responsible for ensuring accurate and timely refunds to insurance payers. This role requires a high degree of attention to detail, strong analytical skills, and excellent communication abilities.Key Responsibilities:Review and analyze refund and...

Job SummaryVisaya KPO is seeking a highly skilled Insurance Refund Specialist to join our team. As a key member of our revenue cycle department, you will be responsible for reviewing accounts, identifying insurance overpayments and credit balances, and ensuring that refunds are issued in accordance with current policies and procedures.Key...

Job SummaryThe Refund Specialist-Insurance is a key member of our team at Visaya KPO, responsible for ensuring accurate and timely refunds to insurance payers. This role requires a high degree of attention to detail, analytical skills, and effective communication with various stakeholders.Key ResponsibilitiesReview and analyze refund and overpayment requests...

Job Title: Healthcare AR SpecialistWe are seeking a highly skilled and experienced Healthcare AR Specialist to join our team at Visaya Knowledge Process Outsourcing. As a key member of our team, you will be responsible for resolving medical claims and ensuring timely payment from insurance carriers.Key Responsibilities:Verify and obtain eligibility and...

Job SummaryThe Refund Specialist-Insurance is a key member of our revenue cycle team, responsible for ensuring accurate and timely refunds to insurance payers. This role requires a high degree of attention to detail, analytical skills, and effective communication with various stakeholders.Key ResponsibilitiesReview and analyze refund and overpayment requests...

Job Title: AR Complex Clinical Denials SpecialistAt Visaya KPO, we are seeking a highly skilled and experienced AR Complex Clinical Denials Specialist to join our team.Key Responsibilities:Verify and obtain eligibility and/or authorization using payer websites, client eligibility systems, or via phone with insurance carriers/providers.Update patient...

Job Title: AR Specialist - Healthcare AccountAbout the Role:We are seeking a skilled AR Specialist - Healthcare Account to join our team at Visaya Knowledge Process Outsourcing. As an AR Specialist - Healthcare Account, you will be responsible for verifying eligibility and authorizing medical claims, updating patient demographics and insurance information,...