Claims Review Specialist

Job OpportunityWe are seeking a detail-oriented claims specialist to review and evaluate customer claims, ensuring their accuracy and compliance with established protocols. This role requires strong analytical skills to investigate claims, determine validity, and settle credit amounts while maintaining detailed records.Key Responsibilities:Review and...

Our organization is seeking a skilled Medical Claims Specialist to join our team. This critical role involves monitoring the status of medical claims, thoroughly investigating rejections and denials, and diligently documenting related account activities.Key Responsibilities:Perform eligibility verification and benefits checks to ensure accurate patient...

Job Title: Medical Review SpecialistWe are seeking a skilled Medical Review Specialist to join our team. As a Medical Review Specialist, you will be responsible for reviewing medical claims for medical necessity and assessing customer needs.Requirements:Active PHRN and USRN Mainland License1 year Bedside experience, preferably with UR/UM experience but not...

Job Title:We are seeking an experienced auto glass warranty specialist to lead our claims process.An ideal candidate will possess excellent communication skills, a keen eye for detail, and the ability to navigate complex situations with poise.Key Responsibilities:Our team is responsible for handling all incoming warranty claims related to auto glass...

Job Description THE OPPORTUNITY Our client is a prominent provider of business insurance broking and financial services across Australia. They specialize in assisting businesses to identify and manage potential hazards, aiming to minimize exposure to financial risks and ensure adequate protection of property and operations. Currently, they are...

Job Title: Medical Claims SpecialistJob Summary:We are seeking a skilled and organized individual to join our team as a Medical Claims Specialist. This role involves researching and correcting rejected claims, re-submitting claims with supporting documentation, and communicating with payers to secure payment for claims.Key Responsibilities:Research and...

Medical Claims SpecialistWe are seeking a detail-oriented medical claims specialist to join our team. The ideal candidate will have strong organizational skills and experience in managing medical claims and insurance processes.The key responsibilities of this role include accurately inputting claim information into the system, maintaining organized...

Job OverviewWe are seeking a skilled and detail-oriented Medical Billing Specialist to join our team. As a key member of our operations staff, you will play a vital role in reducing claim denials and recovering aging or stale claims.ResponsibilitiesReview and manage denied or aging claims by logging into the client's billing systemWork claim queues to...

Job Title: Virtual Utilization Review Specialist">At Nezda Technologies Inc., we are seeking a skilled Virtual Utilization Review Specialist to join our team. In this role, you will be responsible for assessing and interpreting customer needs, requirements, and medical records.>Key Responsibilities:">Review medical claims for medical necessity;Assess and...

Job Title:Medical Claims SpecialistJob Description:We are seeking a detail-oriented Medical Claims Specialist to support the revenue cycle operations of a U.S.-based healthcare client. This role is primarily focused on reducing claim denials and recovering aging or stale claims. You'll be working directly in the clients billing system, managing claim queues,...