Claims Review 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...

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...

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 SummaryA Claims Resolution Specialist is responsible for reviewing and evaluating customer claims, ensuring their accuracy, eligibility, and compliance with company policies. This involves investigating claims, determining validity, and customer settlement amounts while maintaining detailed records and communicating with team leads for approval.Key...

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...

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 Title: Medical Claims SpecialistDescription:We are seeking an entry-level professional to fill the position of Medical Claims Specialist. This role involves reviewing and analyzing accounts receivables (A/R) reports to identify unpaid claims or patient balances.The ideal candidate will have excellent analytical skills, a keen eye for detail, and strong...

Job DescriptionThe position of Insurance Support Specialist requires an individual to provide full-time assistance in insurance estimating. The successful candidate will produce accurate Xactimate estimates, interpret scopes of loss, and manage communications with adjusters.Key ResponsibilitiesPrepare and review Xactimate estimates for roof repairs and...