Claims Processing Specialist I

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...

Job DescriptionThe role of a Clinical Claims Specialist is critical within our organization. This position involves closely monitoring the status of medical claims, meticulously investigating rejections and denials, and accurately documenting related account activities.This specialist will be responsible for processing adjustments and managing collections...

Job Title: Medical Claims SpecialistKey Responsibilities:Research and resolve claim discrepancies, implementing measures to prevent future issues.Document all account activities accurately and in a timely manner.Process adjustments and manage collections from various payers.Demonstrate proficiency with billing systems and leverage functionality to ensure...

Claims Processing Specialist RoleWe are seeking an experienced Claims Processing Specialist to join our Insurance Operations team. This key position involves managing the financial processing of claims, prioritizing settlement requests and ensuring all necessary documentation is in compliance with regulations.This role requires a strong understanding of...

Job Title: Dental Claims SpecialistThe ideal candidate for this role will possess strong organizational skills, the ability to work independently and efficiently process and manage claims with attention to detail.Key Responsibilities:Follow up on outstanding insurance claims ensuring all follow-ups are properly documented and communicated by adding a...

Job Title">Dental Claims SpecialistAs a dental claims specialist, you will play a critical role in delivering exceptional service to our customers. You will be responsible for managing and processing claims, resolving issues, and providing support to our clients while upholding our commitment to quality and integrity.Follow-up status of outstanding insurance...

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...

Medical Billing Specialist Job OpportunityThis role is ideal for experienced professionals in medical billing or claims follow-up who thrive in a fast-paced, process-driven environment.The primary focus is on reducing claim denials and recovering aging or stale claims through effective management of denied or aging claims in the clients billing system.Review...

Job OverviewThe Medical Claims Specialist is responsible for ensuring seamless billing processes, reducing claim denials and optimizing revenue recovery.This role involves direct engagement with clients' billing systems, managing claim queues, and communicating with payers to ensure timely and accurate reimbursement.Log into clients' billing systems to...

Department: ALL LINESJob Level: Rank and FileI. Principal Responsibilities - Conduct on-site inspection, survey and evaluate insurance coverage based on claim report, insurance policy, applicable statutes and case law to determine if a claim can be accepted as within coverage. - Preparation of Evaluation reports. - Monitors all handled cases. -...