Clinical Claims Professional

Job DescriptionThe role of a Clinical Claims Specialist is critical within our organization. This position involves closely monitoring the status of medical claims, meticulously investigating rejections and denials, and accurately documenting related account activities.This specialist will be responsible for processing adjustments and managing collections...

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 Title: Healthcare Content SpecialistAbout the RoleThis is a highly specialized role that involves conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content) for our automated claims editing solution. This solution is utilized by medical insurance...

As a medical billing professional, you will be responsible for accurately processing patient data and submitting claims to insurance companies.Key ResponsibilitiesManage incoming and outgoing calls regarding inquiries, appointments, and data verificationProvide support with denied claims and follow-upsCorrect denial claims and resubmit them to insurance...

Medical Billing Specialist Job SummaryIsta Personnel Solutions seeks an experienced Medical Billing Specialist to join their team. As a member of our team, you will have the opportunity to work with skilled professionals who prioritize employee satisfaction and work-life balance.Verify patient eligibility and benefits for treatments, hospitalizations, and...

Job DescriptionA claims professional is responsible for reviewing and evaluating customer claims to ensure their accuracy, eligibility, and compliance with company standards.Duties and ResponsibilitiesAnalyze and investigate customer claims submitted through various channels.Evaluate claim validity based on company policies and procedures.Gather and analyze...

Position Title: Clinical AdviserLocation: Makati CityEmployment Type: Contractual (once or twice a week)Job Summary:The Clinical Adviser provides expert medical advice and guidance to support the company's underwriting, claims, and product development functions. This role is responsible for reviewing and validating medical documentation, interpreting...

Job Title: Healthcare Content SpecialistOverview of the PositionThe Healthcare Content Specialist occupies a pivotal role within our organization, working on an automated claims editing solution utilized by medical insurance payers across the United States.Responsibilities and Key TasksConduct in-depth research to identify Medicare, Medicaid, and other...

Medical Coder Job DescriptionThe Medical Coder will be responsible for conducting in-depth research and identifying Medicare, Medicaid, and other medical coding and billing documents to pinpoint claim denials or covered criteria (clinical content) for our automated claims editing solution.This solution is utilized by medical insurance payers across the...

ResponsibilitiesManage healthcare-related inquiries, claims, and service requests with accuracy and compassion.Provide information about healthcare services, policies, and procedures.Process healthcare claims, patient information, and service requests efficiently.Resolve patient concerns and escalate complex issues as needed.Ensure compliance with healthcare...