Medical Claims Specialist

Job SummaryEteam Workforce Private Corporation is seeking a highly skilled Medical Claims Specialist to join our team. In this role, you will be responsible for assessing and adjudicating hospitalization claims of insured members, analyzing medical documents, and ensuring seamless health customer journeys.Main ResponsibilitiesAssess and adjudicate real-time...

We are looking for a highly organized and detail-oriented Medical Claims Coordinator to support our clinical claims team. The successful candidate will be responsible for handling secondary reviews of non-approved medications and participating in continuous improvement efforts for claims accuracy.Key Requirements:Bachelor's degree in a related field2+ years...

Pointwest is seeking a Senior Medical Claims Processor to join our team. In this role, you will be responsible for processing and submitting medical claims to insurance companies, Medicare, Medicaid, and third-party payers.You will work closely with our healthcare professionals to ensure that all claims are accurately processed and submitted in a timely...

Job OverviewWe are seeking a highly skilled Medical Claims Examiner to join our team at RelianceUnited. In this role, you will be responsible for processing medical claims in a timely and efficient manner, analyzing claim information, and making decisions regarding claim coverage or denial.

Job Description:We are seeking a skilled Remote Medical Claims Processor to join our team at Sourcefit DR. As a key member of our revenue cycle department, you will be responsible for researching and resolving claim rejections and denials, as well as documenting all account activities accurately and in a timely manner.About the Team:Our remote team works...

Key ResponsibilitiesProcess medical claims benefits for local and international accountsEnsure timely and accurate processing of claimsCollaborate with cross-functional teams to resolve claim-related issuesYour qualifications include at least 3-6 months of experience in processing medical claims benefits or related work.

Job Description:We are seeking a detail-oriented Medical Billing Specialist to manage the billing process for our facilities, ensuring accurate coding of patient services, submitting claims to insurance companies, resolving billing discrepancies, and maintaining compliance with healthcare regulations.This role requires expertise in substance abuse treatment...

At MetHealth, we are seeking a skilled Clinical Claims Specialist to join our team. In this role, you will be responsible for ensuring timely notification of claim decisions to all parties involved.The ideal candidate will have strong analytical and communication skills, as well as the ability to work effectively in a fast-paced environment.Key...

Job Summary:ActiveOne Health seeks a highly skilled Medical Claims Analyst to join our team. In this role, you will be responsible for analyzing medical information, processing claims, and communicating with stakeholders.Key Responsibilities:Analyze medical information to determine claim validityProcess claims in a timely and accurate mannerCommunicate with...

Job Title: Medical Claims Reconciliation SpecialistHDSI: Claim Reconciliation Processor (Health Claims)This role is responsible for processing account reconciliation requests from accredited Flexicare networks, ensuring timely and accurate completion of all assigned reconciliations.Duties and Responsibilities:Conducts reconciliation of claims records from...

Job Purpose:InLife Health Care seeks a highly skilled Medical Claims Reimbursement Analyst to join its team. The ideal candidate will be responsible for analyzing, adjudicating, auditing, and processing claims according to set medical guidelines and policies within agreed Service Level Agreements (SLAs).

Job Description:As a Medical Billing Specialist at Pointwest, you will play a critical role in ensuring the accuracy and efficiency of our billing process. Your responsibilities will include updating patient records, preparing and submitting billing data, verifying patient information, and resolving claim discrepancies.Responsibilities:Update patient medical...

COMPANY PROFILE:Trinity is a full-line insurance broker that provides products and services in both General Insurance and Employee Benefits. For more than three decades, Trinity has transformed the lives of its clients and customers, redefining what it means to be in the business of insurance by creating products and services that are customized,...

MetHealth is dedicated to delivering high-quality patient care and service.Job DescriptionWe are seeking an experienced Medical Claims Coordinator to join our team. In this role, you will be responsible for verifying insurance eligibility using internal systems and online tools.You will communicate with patients to answer their questions regarding insurance...

Job DescriptionWe are seeking a highly skilled Medical Claims Professional to join our team at Marine Benefits, Inc. This individual will be responsible for ensuring accurate and timely insurance claims adjudication.Assure accurate insurance claims adjudication in a timely manner.Submit invoices/claims utilization reports on time.Validate member documents...

About UsDempsy Resource Management Inc. is a leading provider of resource management solutions.Job OverviewWe are seeking an experienced Claims Processor to join our team. As a Claims Processor, you will be responsible for evaluating claims received by checking the completeness of documents, necessity and reasonableness of expenses, and encoding and...

Job OverviewHunter's Hub Inc. is a leading provider of health insurance solutions, and we are currently looking for a Medical Claims Professional to join our team.Responsibilities:Adjudicate hospitalization claims in a timely manner.Analyze medical documentation to make informed decisions.Ensure seamless coordination between patients and providers.Key...

Job DescriptionWe are seeking a skilled Medical Case Review Specialist to join our team at MetHealth.The successful candidate will be responsible for reviewing claims related to chronic and complex medical cases. This involves utilizing clinical knowledge to validate service necessity and escalating systemic claim issues to technical support teams.Key...

Job SummaryWe are seeking a detail-oriented Medical Billing Specialist to join our team. In this role, you will be responsible for ensuring accurate and timely billing, as well as claims processing and follow-up.About UsRML-PH is a dynamic Health Solutions and Care Delivery Organization committed to transforming the healthcare landscape. We focus on holistic...

About PenbrothersPenbrothers is an HR & remote talent management partner and one of the fastest growing companies in the Philippines. We provide talented Filipinos with global opportunities in high-growth startups and dynamic companies, from the comfort of their own homes.About the ClientOur client is a venture-backed startup with a mission to establish a...