Claim Benefits Specialist

Job DescriptionWe are seeking a skilled Medical Claims Specialist with expertise in the Athena billing software to fill this key role.The ideal candidate will be responsible for accurately processing and managing medical claims, verifying insurance eligibility and benefits, preparing and transmitting claims using the Athena software, and proactively...

Job SummaryA Claims Resolution Specialist is responsible for reviewing and evaluating customer claims, ensuring their accuracy, eligibility, and compliance with company policies. This involves investigating claims, determining validity, and customer settlement amounts while maintaining detailed records and communicating with team leads for approval.Key...

Compensation and Benefits Specialist (Hybrid)Join to apply for the Compensation and Benefits Specialist (Hybrid) role at Sprout Solutions.Directly reports to: Professional Services ManagerResponsibilitiesAdminister different employee benefit programsAct as liaison officer to government agencies (SSS, PhilHealth, BIR, HDMF)Submit reports to update or declare...

Medical Claims Specialist Job DescriptionMedical claims specialists are responsible for accurately and efficiently processing medical claims to ensure timely payment from insurance providers.Key Responsibilities:Verify accurate insurance filing information on behalf of clients and patients.Prepare, review, and transmit claims using billing software.Follow up...

Quality Assurance SpecialistOur organization is seeking a highly skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will play a crucial role in ensuring the quality and accuracy of our claims processing.Key Responsibilities:Conduct thorough audits of claims to assess compliance with industry standards and internal...

Compensation and Benefits Specialist (Entry-Level)The ideal candidate will administer various employee benefit programs, act as liaison officer to government agencies, submit reports, ensure compliance with labor and benefit mandates, facilitate filing of claims, resolve conflicts, prepare requests or advances for employee SSS benefits, secure and verify...

Medical Billing Specialist Job Summary:The Medical Biller is responsible for ensuring timely and accurate payment of medical claims. This involves verifying patient eligibility, reviewing and submitting claims, and conducting A/R follow-up for prompt payment.Key Responsibilities:Verify patient coverage and benefits to ensure accurate claim submissions.Submit...

Job Description:The primary role of this position is to provide support to Claims Adjusters located in North America. The Claims FNOL Handler will be responsible for a range of activities, including receiving and registering claims, reviewing insurance policies, documenting claims, and coordinating with adjusters. This role involves maintaining detailed...

Job Summary:We're seeking a highly skilled and detail-oriented Insurance Claims Support Specialist to join our team.The ideal candidate will possess excellent communication skills, with the ability to effectively collaborate with clients and colleagues to ensure seamless service delivery.Provide exceptional customer service via phone and emailProcess and...

Job SummaryWe are seeking a detail-oriented and organized individual to join our team as a medical biller. As a medical biller, you will be responsible for managing patient insurance claims, verifying benefits, and submitting claims electronically.About the RoleInsurance verifications and benefits for new and existing patients.Code claims from accepted codes...