Medical Claims Processor

Medical Billing Specialist Job Summary:The Medical Biller is responsible for ensuring timely and accurate payment of medical claims. This involves verifying patient eligibility, reviewing and submitting claims, and conducting A/R follow-up for prompt payment.Key Responsibilities:Verify patient coverage and benefits to ensure accurate claim submissions.Submit...

Job OverviewThe Medical Biller/Accounts Receivable Specialist role is a detail-oriented and proactive position that supports the billing and revenue cycle management team.Key Responsibilities:Prepare and submit medical claims to insurance companies (electronic and paper).Post payments from insurance companies and patients into the Electronic Medical Record...

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...

A Medical Biller plays a crucial role in healthcare facilities, focusing on the submission of claims to insurance companies.They are responsible for processing data from medical coders, ensuring timely claim processing and payment, verifying insurance coverage, reviewing denied claims, and assisting patients with billing inquiries.Key...

Job Title: Provider Dispute Claims Processor | In-Office Training Required | Potential for Remote Work After TrainingExpected Start Date: September 22Salary: up to Php 35,000Position Summary:We are seeking an experienced Provider Dispute Claims Processor this role is responsible for reviewing, researching, and resolving provider disputes in compliance with...

Job Title: Provider Dispute Claims Processor | In-Office Training Required | Potential for Remote Work After TrainingExpected Start Date: September 22Salary: up to Php 35,000Position Summary:We are seeking an experienced Provider Dispute Claims Processor this role is responsible for reviewing, researching, and resolving provider disputes in compliance with...

Job Objective / PurposeThe Claim Processor is responsible for timely processing of medical claims based on the member's health benefit program. They analyze medical information, perform data entry, handle reimbursement claims, and decide whether a claim should be covered or denied. Communicate issues or exceptions to other concerned departments as...

A Medical Claim Specialist is needed to support the revenue cycle operations of a U.S.-based healthcare client. The ideal candidate will be responsible for reducing claim denials and recovering aging or stale claims. This role requires strong attention to detail, excellent communication skills, and the ability to work independently in a fast-paced...

Job Title: Claims Processor Trainer | NON-VOICEIn-Office Training Now, Potential for Remote Work LaterPosition Summary:We are seeking a knowledgeable and experienced Trainer for the Claims Adjudication Process to join our growing team. The ideal candidate is responsible for designing, facilitating, and evaluating training programs focused on claims...

Job Title: Medical Billing SpecialistYou will play a crucial role in managing outsourced revenue cycle management services for optometric practices. Your responsibilities include all aspects of insurance billing and processing, such as claim review and correction, claim submission, payment posting, researching rejections, aged claims, and submitting...