Medical Claims Processor

About the RoleWe are seeking an experienced Medical Claims Processor to join our team. As a Medical Claims Processor, you will be responsible for processing and submitting medical claims to insurance companies.Key responsibilities include:Processing data from medical coders and ensuring claims are processed and paid in a timely mannerVerifying insurance...

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...

Job Title: Renal Clinic Claims ProcessorJob SummaryWe are seeking a highly detail-oriented and proactive individual to join our team as a Renal Clinic Claims Processor. The successful candidate will be responsible for managing administrative tasks related to PhilHealth claims processing, ensuring accurate and timely submission of claims, and maintaining...

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...

The role of a Medical Claims Coordinator is to oversee the efficient and accurate submission and tracking of medical claims, ensuring compliance with relevant policies and regulations.Key Responsibilities:Audit and process claim submissions in a timely mannerManage organized spreadsheets for accurate data entryMonitor payments and denials to optimize claim...

Medical Claims Specialist Job DescriptionMedical claims specialists are responsible for accurately and efficiently processing medical claims to ensure timely payment from insurance providers.Key Responsibilities:Verify accurate insurance filing information on behalf of clients and patients.Prepare, review, and transmit claims using billing software.Follow up...

Job DescriptionWe are seeking a skilled Medical Claims Specialist with expertise in the Athena billing software to fill this key role.The ideal candidate will be responsible for accurately processing and managing medical claims, verifying insurance eligibility and benefits, preparing and transmitting claims using the Athena software, and proactively...

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:Billing Operations SpecialistAbout the Role:Seeking a detail-oriented Billing Operations Specialist to support revenue cycle operations.Key Responsibilities:Review and manage denied or aging claims.Identify root causes of denials and submit corrections.Make outbound phone calls to check claim statuses and resolve payment issues.Evaluate and...

Medical Billing Specialist Job SummaryWe are seeking a dedicated and detail-oriented Medical Biller to join our team. The ideal candidate will have strong organizational skills, exceptional accuracy in data entry, and experience in managing medical claims and insurance processes.Key Responsibilities:Audit claim information into the system and maintain...