Review and Resolve Customer Claims

Job Title:Medical Claims Review SpecialistAssess and interpret customer needs, requirements, and medical records.Reviews medical claims for medical necessity to ensure alignment with established guidelines.Qualifications:Active PHRN and USRN Mainland License1 year bedside experience, preferably with UR/UM experience but not requiredBenefits:Work from home...

Investigating claims related to branded merchandise is a critical role within our organization.Key Responsibilities:Manage and investigate incoming customer claims, including imprinting errors, delivery delays, pricing discrepancies, incorrect products, or issues affecting product quality and integrity.Collaborate with internal departments to gather...

Claims ProcessorYou will play a vital role in delivering exceptional service to our customers by managing and processing claims, resolving issues, and providing support. The position involves following up on outstanding insurance claims, documenting all follow-ups, and communicating with clients.The successful candidate will be responsible for sending out...

Job OverviewA medical biller plays a crucial role in the healthcare industry by ensuring accurate and timely claims submissions to insurance companies.Their responsibilities include processing data from medical coders, reviewing claims for accuracy, verifying insurance coverage, and assisting patients with billing inquiries.Key ResponsibilitiesManage inbound...

We are seeking a detail-oriented medical billing professional to excel in claim management.Key Responsibilities:Enter accurate claim data, maintain organized spreadsheets and ensure timely processing.Track payments, denials and resubmit claims as needed, resolving related issues promptly.Prepare monthly claim reports and summaries for stakeholders.Contact...

Job SummaryOur client offers end-to-end solutions for transport companies, fleet operators, insurers, brokers, and self-insurers. They help reduce excess and premiums by up to 35%, recover damages from at-fault parties, and provide replacement vehicles—including cars and trucks.They support clients with risk management planning, loss of income claims, and...

Auto Glass Warranty Specialist Job SummaryThis role involves managing and adjudicating vehicle warranty claims related to auto glass, ensuring prompt and quality service to our customers. If you have experience handling vehicle warranty claims and possess excellent communication skills, we invite you to apply for this position.About the RoleWe are seeking an...

Job Overview:We are seeking a highly skilled professional to fill the role of Dental Insurance Claims Specialist. As a key member of our team, you will be responsible for managing insurance claims, ensuring timely resolution and communication with all stakeholders.Responsibilities:Claim Management: Follow up on outstanding insurance claims, documenting and...

The role of a Medical Coding Specialist is multifaceted, involving meticulous research and analysis to identify claim denials or covered criteria for an automated claims editing solution.Responsibilities:Conduct in-depth research to pinpoint Medicare, Medicaid, and other medical coding and billing documents that impact claim denials or covered...

Remote Call Center Representative Job DescriptionThis position involves working as a customer-facing representative in a remote call center environment. As a key member of our team, you will be responsible for handling inbound and outbound calls professionally and efficiently.Key Responsibilities:Resolve customer issues on the first call through effective...