Claims Validation Specialist

About the Position:We are looking for a skilled Claims Validation Specialist to join our team at Dempsy Resource Management Inc. As a Healthcare Data Encoder, you will be responsible for evaluating and processing medical claims.Key Responsibilities:Evaluate claims received by reviewing the completeness of documents and the necessity and reasonableness of...

Responsibilities:Acknowledge receipt of Claim requests.Upload claim documents to case in the health claims system.Validate claim details in the health claims system.Update Claim status and notes in the health claims system.Update TPA file for endorsement to Claims Control Team.Adhere to service standards of processing administrative requests.Ensure complete...

At JOB MATCHMAKER, we are looking for a skilled Claims Specialist to join our team. The ideal candidate will have a strong background in evaluating claims and ensuring that all medical documents are properly filed and labeled.The Key Responsibilities of this role include:Evaluating claims by checking the completeness of documents, necessity and...

Job Summary:At Dempsy Resource Management Inc., we are seeking a highly skilled Medical Claims Analyst to join our team. As a Claims Validation Specialist, you will play a crucial role in ensuring the accuracy and completeness of medical claims.About the Role:Evaluate claims received by assessing the completeness of documents, the necessity and...

A Claims Adjudicator is responsible for reviewing and evaluating insurance claims to determine their validity and the extent of coverage based on policy terms. This role involves analyzing medical records, verifying information, applying policy guidelines, and approving or denying claims accurately while ensuring compliance with regulatory standards.

About the Role:Hunter's Hub Inc. is a leading insurance company that requires a dedicated Life Claims Specialist to support our claims process. In this role, you will work closely with claims officers to ensure efficient claim resolution.

We are seeking an experienced Medical Claims Examiner to join our team at JOB MATCHMAKER. As a Medical Claims Examiner, you will play a crucial role in ensuring that all medical claims are processed accurately and efficiently.Your key responsibilities will include:Evaluating claims to determine their validity and accuracy;Verifying the completeness of claim...

Job SummaryWe are seeking an experienced Claims Specialist - Dental Division to join our team. As a member of our team, you will be responsible for managing and processing dental claims, as well as coordinating with insurance companies to verify coverage.Key Responsibilities:Process dental claims from submission to resolution.Verify insurance coverage and...

Job OverviewHunter's Hub Inc is seeking a highly organized and detail-oriented Claims Support Specialist to join our team. This role will play a crucial part in ensuring the smooth operation of our email management system.The successful candidate will be responsible for managing incoming emails, prioritizing tasks, and collaborating with team members to...

**Job Overview**At Trinity Workforce Solutions, we are seeking a highly skilled Insurance Claims Examiner to join our team. This role involves reviewing and evaluating insurance claims to determine their validity and the extent of coverage based on policy terms.Key Responsibilities:Analyzing medical records and verifying informationApplying policy guidelines...

The A&P Claim Specialist ensures our data for marketing budget and marketing claims are reliable and efficient by maintaining, configuring and monitoring all activities from end to end with the Marketing, Sales & Operations Department.Ultimately, the A&P Claim Specialist maintains a robust and dependable financial data for Nabati in the Philippines.Job...

**Job Overview**Sourcefit DR is seeking a detail-oriented Medical Claims Specialist to manage the billing process for our facilities.The successful candidate will be responsible for ensuring accurate coding of patient services, submitting claims to insurance companies, and resolving billing discrepancies.This role requires expertise in substance abuse...

We are seeking a Claims Resolution Specialist to join our team at NTT DATA North America.About the RoleAs a Claims Resolution Specialist, you will be responsible for handling phone calls from policyholders, beneficiaries, agents, and internal customers, addressing their inquiries and resolving issues in a timely and professional manner.You will need to have...

Job SummaryWe are seeking an experienced Medical Biller to join our team as a Medical Claims Specialist. In this role, you will be responsible for managing and resolving medical claims, collaborating with the supervisory team to improve processes, and communicating effectively with patients and insurance carriers.Responsibilities:Manage and resolve medical...

The A&P Claim Assistant assists the A&P Claims Specialist ensures our data for marketing budget and marketing claims are reliable and efficient by maintaining, configuring, and monitoring all activities from end to end with the Marketing, Sales & Operations Department.Ultimately, the A&P Claim Specialist maintains robust and dependable financial data for...

The A&P Claim Assistant assists the A&P Claims Specialist ensures our data for marketing budget and marketing claims are reliable and efficient by maintaining, configuring and monitoring all activities from end to end with the Marketing, Sales & Operations Department. Ultimately, the A&P Claim Specialist maintains a robust and dependable financial data for...

ResponsibilitiesThe Medical Billing Specialist - AR will be responsible for:Navigating multiple online portals to manage claims efficiently.Regularly communicating with payers to resolve claim issues.Investigating claim denials to identify effective solutions.Managing claim adjustments to ensure accurate payments.Following up on outstanding claims to prevent...

About the RoleWe are seeking a highly skilled Medical Billing Specialist to join our team at Sourcefit DR. As a key member of our financial team, you will play a crucial role in managing our claims process.Your primary responsibility will be to handle all aspects of claims management, from investigation to resolution. This includes reviewing and analyzing...

The A&P Claim Assistant assists the A&P Claims Specialist ensures our data for marketing budget and marketing claims are reliable and efficient by maintaining, configuring and monitoring all activities from end to end with the Marketing, Sales & Operations Department. Ultimately, the A&P Claim Specialist maintains a robust and dependable financial data for...

Job DescriptionAs a Claims Administrator at Arch Insurance, you will be responsible for handling claims related correspondence, updating claims records, and coordinating with internal teams.Main DutiesTriage and allocate incoming claims correspondenceUpdate and maintain accurate claims recordsBook transactions into our systemProcess claims payments and...