Healthcare Claims Processor

Job Title: Medical Claims ProcessorThe Medical Claims Processor is a vital role within our healthcare team. This position is accountable for monitoring the status of medical claims, thoroughly investigating rejections and denials, and diligently documenting related account activities.This position requires a deep understanding of various eligibility...

Medical Claims Processor JobA Medical Claims Processor processes and manages medical claims, revenue cycle management, and related tasks.Key Responsibilities:Claim Processing: Process medical claims to ensure accurate and timely payments from insurance payers.Denial Management: Identify and resolve denied claims by reviewing claim information, communicating...

Medical Billing Specialist RoleThe Medical Billing Specialist plays a pivotal role in the revenue cycle process. This position requires thorough monitoring of medical claims, investigating rejections and denials, and maintaining accurate documentation of related account activities.This specialist is responsible for posting adjustments and managing...

Medical Claims ExpertA skilled medical claims expert works in healthcare settings, ensuring accurate and timely submissions of insurance claims. Key responsibilities include reviewing data from medical coders, verifying insurance coverage, resolving denied claims, and providing billing support to patients.Key Responsibilities:Communication: Manage calls from...

We currently looking for USRN Quality Analyst to be part of our PIONEER USRN TEAM This role focuses on the comprehensive analysis, management, and resolution of denials and appeals related to claims and services, ensuring compliance with insurance policies, healthcare regulations, and industry best practices.Key Responsibilities: Denials and Appeals...

Job Qualifications: Completed at least 2 years of college. Minimum 12 months experience in Healthcare Account Receivable/Collections in a BPO setting. Familiarity with UB Claims and UB04 forms. Experience in medical billing/AR collections. Background in calling insurance (Payer) for claim status and payment disputes. Familiar with EPIC...

Dental Claims SpecialistWe are seeking a detail-oriented professional to manage and process claims, resolve issues, and provide support while upholding our commitment to quality and integrity.Key Responsibilities:Follow-up status of outstanding insurance claims, ensuring all follow-ups are properly documented and communicated.Sending out claims and...

Position : Claims Assistant (Non-motor Insurance)Location : Alabang, Muntinlupa CitySetup : OnsiteSchedule : Day ShiftQualifications:Graduate of any 4-year bachelor's degree.2 – 4 years of experience in Non-Motor Claims or prior experience in a claims department or working with insurance claims is a significant advantage.Experience in handling...

Process new claims or modifies existing claims according to the appropriate and applicable actionAnalyze claims to determine appropriate action to approve or deny a claim for paymentDetermine accurate payment criteria for clearing pending claims based on defined policies and proceduresResearch claims edits to determine appropriate benefit application...

Medical Billing ProfessionalThe ideal candidate will possess strong organizational skills, attention to detail and excellent communication abilities.Responsibilities:Verify patient insurance coverage and benefits for new and existing patients ensuring accurate reimbursement.Assign correct procedure codes according to insurer requirements for seamless claim...