Medical Claims Review Specialist

Job Title: Medical Claims SpecialistThe role of a Medical Claims Specialist is pivotal to our healthcare operations. This position entails thorough claim monitoring, rejection and denial investigation, and precise documentation of account activities.

Claims Review SpecialistAs a key member of our team, you will play a critical role in evaluating customer claims to ensure their accuracy and compliance with company policies. Your responsibilities will include investigating claims, determining validity, and resolving customer issues while maintaining detailed records.Key Responsibilities:Evaluate and assess...

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...

Revenue Cycle Specialist RoleThis position is focused on decreasing claim rejections and recovering aging or stale claims. To achieve this, the specialist will need to have a strong understanding of the revenue cycle management process.Main Responsibilities:Login to the client's billing system to review and manage denied or aging claims.Work claim queues to...

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...

About the RoleWe are seeking a detail-oriented Medical Biller AR Follow-up Specialist to maximize insurance reimbursement for healthcare practice owners. This individual will work from home, utilizing expertise to resolve medical insurance claim denials and delays.Key Responsibilities:Discover root causes of medical insurance claim denial, underpayment, or...

Medical Billing Specialist OpportunityThe Medical Billing Specialist will be responsible for accurately processing medical charges, payments, and journal entries to patient accounts.Key Responsibilities:Accurately post medical charges, payments, and journal entriesCollaborate with insurance companies, healthcare providers, and patients to process and manage...

We are seeking a medical billing specialist to provide outsourced revenue cycle management services to optometric practices. The ideal candidate will possess at least 3 years of experience as US Medical Accounts Receivable/Medical Billing Specialist.Key Responsibilities:Manage accounts receivables and keep accurate recordsCoordinate with healthcare providers...

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...

Job SummaryWe are seeking a skilled Medical File Reviewer to join our team. The ideal candidate will have a strong background in nursing, be proficient in MS applications and possess excellent communication skills.">Key ResponsibilitiesReview and prepare medical records, create synopses and assist medical providers during scheduled appointments.Prepare case...