Healthcare Claims Resolution Professional

Medical Claim Resolution ExpertViventis Search Asia is seeking a Medical Claim Resolution Expert to help our partner in the BPO industry navigate the complexities of medical claim denials.About the Role:Claim Denial Resolution: Resolve denied medical claims by preparing and submitting appeals that address specific issues and regulations.Collaboration with...

Healthcare Advocate for Fair ClaimsViventis Search Asia seeks a dedicated Healthcare Advocate for Fair Claims to join our team. This role involves working closely with our partner in the BPO industry to resolve medical claim denials and ensure fair resolutions for patients and providers.About the Position:Fair Claim Resolution: Resolve medical claim denials...

At Med-Metrix, we are seeking a highly skilled Medical Claims Analyst to join our team.Job OverviewThis is an onsite position that requires the candidate to have at least 1 year of experience in the healthcare industry. A background in AR (accounts receivable) is considered an asset.Key Responsibilities:Strong understanding of healthcare terminologies and...

Key Responsibilities:Client Support: Act as the main point of contact for healthcare clients, including patients, providers, and insurance companies, offering timely and accurate responses to their inquiries.Account Management: Assist with billing, claims, and payment-related issues for healthcare accounts. Ensure proper payment application, claims...

About the RoleThis is an exciting opportunity to join our team as a Claims Resolution Specialist. We are seeking a skilled individual to resolve claims and provider disputes in a timely and efficient manner. The ideal candidate will have experience in claims resolution, provider appeals, and reconciliation.Key Responsibilities:Log and send acknowledgement...

Job OverviewMED-METRIX INTERNATIONAL PH-I, INC. is seeking a skilled Claims Resolution Specialist to join our team.The successful candidate will be responsible for collecting payments, resolving account discrepancies, and ensuring timely billing and allowance posting.Key ResponsibilitiesFollow up with payers via phone, email, or fax to resolve outstanding...

Job Title: Healthcare Claims ExaminerWe are seeking an experienced Healthcare Claims Examiner to join our team at TakeCare Asia Philippines, Inc. The successful candidate will be responsible for examining and resolving complex healthcare claims.Duties and Responsibilities:Examine healthcare claims to determine coverage and coding accuracy.Analyze claims data...

About This OpportunityWe are seeking a Healthcare Claims Coordinator to join our team at Systemantech Inc. As a key member of our claims department, you will be responsible for reviewing and processing patient claims in a timely and efficient manner.Main DutiesReview patient claims to ensure accurate and complete information.Process claims according to...

Job OverviewAs a skilled Healthcare Claims Specialist, you will play a vital role in the healthcare industry by collecting unpaid claims and providing exceptional customer service. Your primary responsibility will be to interact with customers, gather support data to ensure invoice accuracy, and work through specific claims discrepancies.Key...

Job DescriptionMed-Metrix is seeking a highly motivated and detail-oriented Medical Claims Resolution Specialist to join our team. As a key member of our call center staff, you will be responsible for resolving medical claims and patient inquiries, processing patient credit card payments, and analyzing issues on patient accounts.Key QualificationsClinical...

RequirementsWe are seeking a highly skilled Healthcare Claims Analyst to join our team at TakeCare Asia Philippines, Inc. As a Healthcare Claims Analyst, you will be responsible for reviewing and analyzing claims data to ensure accuracy and completeness.You will work closely with the claims team to identify areas of improvement and implement changes to...

Job Description: As a Remote Healthcare Arbitration Specialist, you will play a crucial role in managing and supporting the Independent Dispute Resolution process for out-of-network emergency room services. Your main responsibility will be to analyze disputed claims, prepare case submissions, and ensure regulatory compliance under the No Surprises Act.This...

Job SummaryThe Claims Resolution Expert will be responsible for reviewing debit information, making direct calls to customers to obtain missing information, and processing corresponding credits and/or denials. This role requires strong analytical and problem-solving skills to effectively resolve customer claims.Duties and ResponsibilitiesPerform complex...

Job DescriptionThis position is responsible for identifying, capturing, tracking, reviewing, and resolving held claim edits, claim rejections, and/or denials that result from the claims/billing cycle.Main Responsibilities:Identify and track revenue cycle held claim edits, rejections, and/or denials including verifying legal health record documentation to...

About the RoleWe are looking for an experienced Healthcare Claims Processor to join our team at InLife Health Care. The successful candidate will be responsible for analyzing, auditing, and processing healthcare claims.Key Responsibilities:• Review and analyze claims data to ensure accuracy and compliance• Process and adjudicate claims according to set...

Job DescriptionAs a Medical Claims Analyst at John Clements Consultants, Inc., you will play a vital role in ensuring the timely resolution of outstanding claims and maintaining daily productivity standards. Key responsibilities include:Communicating with payers to resolve claims and ensure timely payments.Using workflow systems and tools to collect payments...

**Job Summary:**We are seeking a highly skilled Claims Accountant to join our team at Optum, a UnitedHealth Group Company. As a Claims Accountant, you will play a critical role in managing and resolving healthcare claims.Key Responsibilities:Process and manage claims from submission to resolution, ensuring accuracy and compliance with regulations.Collaborate...

Job Description:We are seeking a highly skilled Claims Resolution Specialist to join our team at Shopee. As a key member of our Logistics and Customer Service department, you will play a critical role in resolving claims related to lost, damaged, or delayed goods in transit.Investigate and Process Claims: Conduct thorough investigations into claims,...

About the PositionWe are looking for a highly skilled Clinical Analyst to join our team. As a clinical analyst, you will play a critical role in ensuring the accuracy of medical coding and claims processing.Job DutiesMedical Coding: Utilize your expertise in medical coding to ensure accurate assignment of codes for medical procedures and diagnoses.Claims...

We are looking for a Healthcare Claims Processor to work with us in Ortigas CBD, Pasig. In this role, you will be responsible for preparing and submitting claims to insurance companies.Key Responsibilities:Prepare and submit clean claims to insurance companies via electronic and paper submissions.Verify patient insurance eligibility and benefits before...