Healthcare Claims Resolution Professional

About the RoleWe are seeking a skilled Healthcare Claims Expert to join our team. In this challenging role, you will be responsible for reviewing, researching, and resolving complex claims and benefits issues.The ideal candidate will have 3+ years of experience in claims or collections, with a strong analytical mind and excellent problem-solving...

Job Title: Claims Resolution CoordinatorJob Summary:We are seeking an experienced Claims Resolution Coordinator to join our team. The successful candidate will be responsible for evaluating claims, encoding and simplifying diagnosis-data entry, conducting routine reconciliation of Outstanding Accounts with Providers, and ensuring all medical claims documents...

Responsibilities:Provide claims expertise support by reviewing, researching, investigating, negotiating, and resolving all types of claims, including recovery and resolution for health plans, commercial customers, and government entities.Analyze data, identify trends, and provide reports as necessary to ensure adherence to state and federal policies,...

As a CSR Healthcare Professional at Neksjob Philippines, you will play a critical role in ensuring that our customers receive the highest level of care and support. Your responsibilities will include:Key FunctionsResponding to customer inquiries and resolving issues in a timely and professional mannerAssisting customers with requests for doctor's...

Job Overview: Our company, Vector Outsourcing Solutions Philippines, is a leading provider of revenue cycle management services. We are seeking a highly skilled Medical Billing Consultant to join our team. In this role, you will be responsible for ensuring accurate and timely submission of medical insurance claims.Key Job Responsibilities:Accurate Claims...

The Eteam Workforce Private Corporation is seeking a highly skilled Hospital Claims Coordinator to join our team. As a Health Claims Liason Officer, you will be responsible for managing hospital claims from start to finish.Key Responsibilities:Manage hospital claims from receipt to resolutionCollaborate with internal teams to ensure seamless claim...

About the RoleThis is an exciting opportunity to join Ista Solutions as a Medical Billing Specialist, where you will have the chance to work with highly skilled professionals who prioritize employee satisfaction and work-life balance.Duties and ResponsibilitiesEligibility and benefits verification for treatments, hospitalizations, and proceduresReviewing...

Role OverviewThis Customer Service Coordinator role at Stemz Healthcare in Quezon City offers a unique opportunity to provide exceptional patient care and support. The successful candidate will be responsible for ensuring customer satisfaction and utilizing analytical skills in daily tasks.The ideal candidate will have excellent customer support and...

ResponsibilitiesAs a Resolutions Specialist, you will be responsible for resolving complex claims and benefits issues. You will work closely with internal stakeholders to ensure timely and accurate resolution.The ideal candidate will have 3+ years of experience in claims or collections, with a strong analytical mind and excellent problem-solving...

Revenue Cycle Management Team: We are seeking a highly skilled Medical Billing Consultant to join our revenue cycle management team at Vector Outsourcing Solutions Philippines. As a key member of our team, you will be responsible for ensuring accurate and timely submission of medical insurance claims.Responsibilities:Accurate Claims Creation: Prepare and...

We are seeking a highly skilled and detail-oriented Healthcare Support Technician to join our team at Stemz Healthcare. The successful candidate will have excellent communication skills and experience working in a fast-paced healthcare environment.Responsibilities:Prepare and position patients for X-ray and Ultrasound exams.Operate X-ray and Ultrasound...

BAU Responsibilities:Directly responsible for the adjudication and approval of death, critical illness, TPD, hospitalization benefit of all individual and group insurance claims within his/her approval limit and within the agreed turnaround time.Ensures that the life claims benefits are paid out in accordance with existing Philippine life insurance laws and...

Job Description: As a Healthcare Liaison Officer, you will play a critical role in facilitating communication between our company and clients. Your primary responsibility will be to ensure smooth day-to-day operations of health plans and insurance coverage. You will also be responsible for monitoring claims and reporting any discrepancies or issues to the...

At Neksjob Philippines, we are committed to delivering exceptional customer service in the healthcare sector. Our goal is to ensure that our customers receive the best possible care and support.Job DescriptionWe are seeking a highly motivated and organized individual to join our team as a CSR Healthcare Professional. The successful candidate will be...

About the RoleWe are looking for a highly skilled Client and Disputes Resolution Manager to join our team. The successful candidate will be responsible for managing disputes and ensuring efficient resolution of customer issues.Key Skills and QualificationsBackground in disputes or fraud processingHigh proficiency in Microsoft Excel and other MS Office...

Are you an experienced healthcare professional looking for a challenging role? The Eteam Workforce Private Corporation is seeking a Medical Claims Management Specialist to join our team. As a Health Claims Liason Officer, you will play a critical role in ensuring that hospitalized clients receive the care they need.Key Responsibilities:Engage with...

Your RoleCommunicate with patients and insurance payors via phone and email to resolve claims denials and billing issues.Verify patient insurance eligibility and update information as needed.Work closely with the Patient Financial Services team to resolve claims denials.Provide excellent customer service and conflict resolution skills to resolve patient...

ISTA Solutions is an outsourcing/offshoring company seeking an experienced Customer Support Professional for our rapidly expanding healthcare account team. As a Customer Support Professional, you will be responsible for providing exceptional customer service to our clients and ensuring the smooth processing of medical claims.Key responsibilities include:Test...

Join our team as a Healthcare and Pharmaceutical Customer Service Representative and assist patients, healthcare providers, and pharmacies with inquiries related to medical services, prescriptions, and insurance claims.What You'll Do:Handle customer inquiries related to prescriptions, insurance coverage, and healthcare services.Assist in processing claims,...

RequirementsAt least 3-5 years of experience working in a medical provider or a billing firm environment in the US Healthcare Industry.Experience with AR and proficiency in related software systems.Aptitude to learn quickly and adapt to new processes.As a Medical Billing Specialist at Sourcefit DR, you will have the opportunity to work with a talented team...