Healthcare Claims Specialist

Job SummaryWe are seeking a meticulous and organized individual to join our team as a Healthcare Claims Specialist. In this role, you will be responsible for managing the submission, follow-up, and resolution of healthcare claims.About the RoleYou will work closely with our medical providers and administrative staff to ensure timely and accurate submission...

Job Title: Healthcare Billing SpecialistWe are seeking an experienced Healthcare Billing Specialist to join our team. In this role, you will be responsible for managing the billing and collection processes in a healthcare environment, ensuring timely and accurate submission of claims to insurance companies.The ideal candidate will have strong knowledge of...

Medical Claims SpecialistThis role focuses on reducing claim denials and recovering aging or stale claims. You'll work directly in the client's billing system, managing claim queues and communicating with payers to ensure timely and accurate reimbursement.Main ResponsibilitiesReview and manage denied or aging claims within the client's billing...

Job DescriptionWe are seeking a skilled Medical Biller/Accounts Receivable Specialist to join our team at Bizforce. The successful candidate will work from home and have the opportunity to work with a dynamic team in a fast-paced environment.Responsibilities:Manage accounts receivables and keep up-to-date recordsCoordinate with healthcare providers and...

About Our Medical Billing SpecialistThe role of Medical Billing Specialist is a crucial part of our healthcare operations. This position involves overseeing the status of medical claims, thoroughly investigating rejections and denials, and accurately documenting related account activities.

A medical billing professional plays a key role in the smooth operation of healthcare facilities.The position involves ensuring accurate and timely claims submission to insurance companies, which includes processing data from medical coders, verifying insurance coverage, reviewing denied claims, and assisting patients with billing inquiries.Key...

Job Title: Healthcare AnalystThis role focuses on supporting clinical and coding operations through accurate data analysis, specifically involving Hierarchical Condition Categories (HCC), Risk Adjustment Factor (RAF) scoring, and healthcare claims review. The ideal candidate has a solid background in U.S. healthcare data, understands medical coding and risk...

We are currently seeking a skilled and detail-oriented insurance verification specialist with expertise in neurology and allergy practices to join our organization.This role involves verifying patient insurance coverage, benefits, and eligibility to ensure smooth billing and claims processing.Verify patient insurance eligibility, coverage, and benefits for...

Medical Claims ProcessorAs a Medical Claims Processor at a leading healthcare organization, you will be responsible for managing the entire claims processing cycle from submission to payment.Key Responsibilities:Coordinate with various departments to gather necessary information and post charges to patient accounts.Review claims for accuracy, completeness,...

Job Title: Utilization Management SpecialistWe are seeking a highly skilled and experienced specialist to fill the role of utilization management at a global company.Key Responsibilities:Assess and interpret customer needs, requirements, and medical records for efficient healthcare services.Review medical claims for medical necessity to optimize resource...