Medical Claims Review Specialist

We are seeking a detail-oriented and skilled Medical Claims Specialist to support the revenue cycle operations of a U.S.-based healthcare client.Job Description:This role is primarily focused on reducing claim denials and recovering aging or stale claims. You will be working directly in the client's billing system, managing claim queues, and communicating...

Healthcare providers rely on medical billing specialists to manage claims and ensure timely payments. As a Medical Claims Specialist, you will play a pivotal role in maintaining compliance with regulatory policies and guidelines.Key Responsibilities:Accurately capture claim data and maintain organized spreadsheets to facilitate efficient processing.Track...

Medical Billing Specialist RoleWe are seeking a Medical Billing Specialist to join our team. The successful candidate will be responsible for managing medical charges, payments, and journal entries to patient accounts in a timely and accurate manner.Main Responsibilities:The role requires verifying correct insurance filing information on behalf of the client...

Job Title: Claims Specialist for Healthcare Revenue CycleWe are seeking a detail-oriented Claims Specialist to support the revenue cycle operations of a U.S.-based healthcare client.About the Role:This role is primarily focused on reducing claim denials and recovering aging or stale claims. You'll be working directly in the client's billing system, managing...

Medical Coding SpecialistThe Medical Coding Specialist is responsible for conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to determine claim denial or covered criteria (clinical content) for an automated claims editing solution.This role requires a thorough understanding of medical coding systems,...

Medical Claims Resolution SpecialistClinicMind is seeking a highly motivated Medical Claims Resolution Specialist to join their team. As a Medical Claims Resolution Specialist, you will be responsible for resolving claim denials, underpayments, and delays in insurance reimbursement for healthcare practice owners.Key Responsibilities:Maximize insurance...

Claims Resolution SpecialistWe are seeking an experienced professional to review and evaluate customer claims, ensuring their accuracy, eligibility, and compliance with established policies.

Medical Billing SpecialistThis role involves managing insurance verifications, coding claims, and submitting them electronically within a 72-hour timeframe.Key Responsibilities:Verify insurance coverage for new and existing patientsAssign accurate procedure codes according to insurer guidelinesReview and correct claims to prevent denialsSubmit claims...

As a Virtual Pharmacist, you will play a crucial role in ensuring the accuracy and reliability of medication verification.Key Responsibilities:Medication VerificationFlag missing or duplicate tablets and debris for removal.Highlight patients with missing data for redone (black screens).Provide feedback on AI performance to improve accuracy and...

Remote Medical Biller and Accounts Receivable SpecialistThis is a professional opportunity for a detail-oriented individual to support the billing and revenue cycle management team in a dynamic healthcare environment.The selected candidate will work independently to prepare and submit medical claims, post payments, reconcile patient accounts, follow up on...