Chief Medical Claims Examiner

Job Title: Medical Claims SpecialistThe role of a Medical Claims Specialist is pivotal to our healthcare operations. This position entails thorough claim monitoring, rejection and denial investigation, and precise documentation of account activities.

We are seeking a detail-oriented medical billing professional to excel in claim management.Key Responsibilities:Enter accurate claim data, maintain organized spreadsheets and ensure timely processing.Track payments, denials and resubmit claims as needed, resolving related issues promptly.Prepare monthly claim reports and summaries for stakeholders.Contact...

Job Title:Medical Claims Review SpecialistAssess and interpret customer needs, requirements, and medical records.Reviews medical claims for medical necessity to ensure alignment with established guidelines.Qualifications:Active PHRN and USRN Mainland License1 year bedside experience, preferably with UR/UM experience but not requiredBenefits:Work from home...

Auto Glass Warranty Specialist Job SummaryThis role involves managing and adjudicating vehicle warranty claims related to auto glass, ensuring prompt and quality service to our customers. If you have experience handling vehicle warranty claims and possess excellent communication skills, we invite you to apply for this position.About the RoleWe are seeking an...

Job OverviewA medical biller plays a crucial role in the healthcare industry by ensuring accurate and timely claims submissions to insurance companies.Their responsibilities include processing data from medical coders, reviewing claims for accuracy, verifying insurance coverage, and assisting patients with billing inquiries.Key ResponsibilitiesManage inbound...

Medical Biller AR Follow-up Analyst Job OpportunityClinicMind, the leading provider of Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is seeking a Medical Biller AR Follow-up Analyst to join their team.ResponsibilitiesMaximize insurance reimbursement for healthcare practice owners by ensuring accurate and timely...

About the RoleWe are seeking a detail-oriented Medical Biller AR Follow-up Specialist to maximize insurance reimbursement for healthcare practice owners. This individual will work from home, utilizing expertise to resolve medical insurance claim denials and delays.Key Responsibilities:Discover root causes of medical insurance claim denial, underpayment, or...

Medical Billing Specialist OpportunityThe Medical Billing Specialist will be responsible for accurately processing medical charges, payments, and journal entries to patient accounts.Key Responsibilities:Accurately post medical charges, payments, and journal entriesCollaborate with insurance companies, healthcare providers, and patients to process and manage...

The role of a Medical Coding Specialist is multifaceted, involving meticulous research and analysis to identify claim denials or covered criteria for an automated claims editing solution.Responsibilities:Conduct in-depth research to pinpoint Medicare, Medicaid, and other medical coding and billing documents that impact claim denials or covered...

Revenue Cycle Specialist RoleThis position is focused on decreasing claim rejections and recovering aging or stale claims. To achieve this, the specialist will need to have a strong understanding of the revenue cycle management process.Main Responsibilities:Login to the client's billing system to review and manage denied or aging claims.Work claim queues to...