Post Payment Claims Auditor

About the PositionWe are seeking a highly skilled Claims and Payments Expert to join our team at Optum, a UnitedHealth Group Company. As a key member of our healthcare team, you will play a vital role in ensuring that patients receive the care they need by processing claims, managing denials, and collecting unpaid claims from insurance providers.Key...

ResponsibilitiesThis function is accountable for accounts receivable collections, follow-up, denial management, claims payment processing tracking, and status and appeals for hospital processes. Critical in allowing our members, families, facilities, and health professionals to have greater confidence in the exceptional care we provide.Key Tasks:Collecting...

Job OverviewAbout Go-Get Data ConsultancyWe are a leading consultancy specializing in healthcare data analysis and medical record auditing. Our team of experts is dedicated to providing high-quality services that meet the evolving needs of the healthcare industry.Job DescriptionAs an ICU Nurse Auditor, you will play a crucial role in reviewing and assessing...

Hybrid - Taguig 5-10 Yrs Exp Bachelor Full-timeJob DescriptionDescriptionJob title: ICU RN AuditorWork set-up: Hybrid in TaguigWork shift: Mid-shiftWe are seeking a detail-oriented and experienced ICU RN Auditor to review and assess medical records, coding accuracy, and documentation compliance in intensive care unit (ICU) settings. The ideal candidate will...

Job SummaryThis role involves managing healthcare accounts receivable, focusing on collecting unpaid claims, processing payments, and tracking claim status. The ideal candidate will have experience in a BPO setting and familiarity with UB Claims and UB04 forms.Key Responsibilities:Contract reading of payment disputes.Working with healthcare providers to...

What You'll DoAs a [Job Title] you will be responsible for managing healthcare accounts receivable, focusing on collecting unpaid claims, processing payments, and tracking claim status. Key responsibilities include contract reading of payment disputes, working with healthcare providers to resolve claims issues, verifying claim status with insurance...

Job DescriptionAbout Go-Get Data ConsultancyWe are a consultancy firm that specializes in healthcare data analysis and medical record auditing. We are committed to delivering high-quality services that meet the evolving needs of the healthcare industry.Job ResponsibilitiesAs an ICU Nurse Auditor, you will be responsible for:Reviewing and assessing medical...

Job DescriptionThis role is responsible for ensuring the efficient collection of healthcare claims payments. The position requires strong communication and problem-solving skills to resolve disputes and verify claim status with insurance providers.The ideal candidate will have experience working on the provider side, handling UB04 forms, and utilizing EPIC...

Job OverviewWe are seeking a skilled professional to join our team as a Healthcare Claims Recovery Specialist. In this role, you will be responsible for collecting unpaid healthcare claims, working closely with customers to resolve any discrepancies.The successful candidate will have a strong background in medical billing and collections, with experience...

Job SummaryAbout the JobWe are seeking a detail-oriented and experienced ICU RN Auditor to review and assess medical records, coding accuracy, and documentation compliance in intensive care unit settings. The ideal candidate will have a strong background in critical care nursing, medical auditing, and regulatory compliance to ensure adherence to healthcare...