Claims Specialist

Job DescriptionWe are seeking a Claims Resolution Specialist to join our team. This role involves reviewing, researching and resolving claims for health plans, commercial customers and government entities.As a Claims Resolution Specialist, you will be responsible for analyzing and identifying trends and providing reports as necessary. You will also ensure...

Claims Resolution SpecialistWe are seeking a skilled Claims Resolution Specialist to join our team. In this role, you will be responsible for processing claims, providing recommendations and final decisions based on set authority limits approved by management.About the RoleThis position involves coordinating with team members and other stakeholders to ensure...

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...

Medical Claims SpecialistWe are seeking an experienced Medical Claims Specialist to collaborate with our team. This role involves verifying patient eligibility, reviewing patient bills, and communicating with insurance companies.Responsibilities:Verify patient eligibility and benefits for treatments, hospitalizations, and procedures.Review patient bills for...

We are looking for a Claims Manager who will take full ownership of the claims function in the Philippines. This role ensures that all claims are handled efficiently, fairly, and in line with regulatory standards. The Claims Manager will lead a team of specialists, drive process improvements, and deliver a high level of service to clients and partners.Key...

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...

As a Dental Claims Specialist, you will play a critical role in delivering exceptional service to our customers. You will be responsible for managing and processing claims, resolving issues, and providing support to our clients while upholding our commitment to quality and integrity.Follow-up status of outstanding insurance claims, make sure all follow-ups...

As a Dental Claims Specialist, you will play a critical role in delivering exceptional service to our customers. You will be responsible for managing and processing claims, resolving issues, and providing support to our clients while upholding our commitment to quality and integrity.Follow-up status of outstanding insurance claims, make sure all follow-ups...

Medical Billing Specialist OpportunityWe are seeking a detail-oriented Medical Billing Specialist to support the revenue cycle operations of our healthcare client.This role is primarily focused on reducing claim denials and recovering aging or stale claims.You will be working directly in our clients billing system, managing claim queues, and communicating...