Large Claim Review

About Atos Atos is a global leader in digital transformation with c. 78,000 employees and annual revenue of c. € 10 billion. European number one in cybersecurity, cloud and high-performance computing, the Group provides tailored end-to-end solutions for all industries in 68 countries. A pioneer in decarbonization services and products, Atos is committed...

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...

Claims Account Analyst is responsible for evaluating claims to ensure they are accurate and processed in a timely manner. They review and assess the validity of claims based on the policy guidelines. They also follow precise procedures in managing high-volume claims according to department goals and deadline.Adjudicate and process claims based on appropriate...

Responsible for the accurate processing and completion of medical claims based defined claims guidelines and policies. Associate can demonstrate proficiency in product lines applicable to the processing unit.Process new claims or modifies existing claims according to the appropriate and applicable actionAnalyze claims to determine appropriate action to...

Claims Resolution SpecialistThis role involves reviewing and validating customer claims, ensuring their accuracy and compliance with established policies and procedures.Key Responsibilities:Review and evaluate customer claims submitted through various channels.Investigate claims to determine validity and eligibility based on company guidelines.Gather and...

Job SummaryA medical biller is an essential professional in the healthcare industry, responsible for processing and submitting claims to insurance companies. Their key responsibilities include managing data from medical coders, ensuring accurate claim processing and payment, verifying patient insurance coverage, reviewing denied claims, and providing...

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...

Job Responsibilities and Tasks:Is the designated contact, overseer and ultimately responsible for the handling of all assigned accounts.Confirms coverage of claims by reviewing plan documents, policies and other information submitted in support of claims.Contacts, interviews and obtains statements from pilots, witnesses, physicians, attorneys, employers,...

Job Responsibilities and Tasks:Is the designated contact, overseer and ultimately responsible for the handling of all assigned accounts.Confirms coverage of claims by reviewing plan documents, policies and other information submitted in support of claims.Contacts, interviews and obtains statements from pilots, witnesses, physicians, attorneys, employers,...

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...