Medical Claims Processor

1. Claims Inspection and ProcessingReceives and registers claims received by the Branch;Evaluates the claims received in accordance with established procedures and authority limits.Endorses to the Claims Department all filed claims beyond the branch's settling authority for proper processing.Conducts site inspection, as necessary.Monitors the progress of...

Southwestern University Medical Center, a Mount Grace partner and a tertiary general hospital that is committed to providing quality and reliable health services is looking for a detail-oriented MEDICAL TRANSCRIPTIONIST.The primary role of the MEDICAL TRANSCRIPTIONIST is the accurate filling out of PhilHealth CF4 claims form and overall assistance in...

Position SummaryThe Audit Technician for Denied Medical Claims is responsible for reviewing, analyzing, and reconciling denied healthcare claims to ensure accuracy, compliance, and timely resolution. This role supports the appeals and audit process by identifying errors, gathering documentation, and preparing claims for reconsideration. The Audit Tech works...

Southwestern University Medical Center, a Mount Grace partner and a tertiary general hospital that is committed to providing quality and reliable health services is looking for a detail-oriented MEDICAL TRANSCRIPTIONIST.The primary role of the MEDICAL TRANSCRIPTIONIST is the accurate filling out of PhilHealth CF4 claims form and overall assistance in...

Handles member's inquiries regarding billing and claims.Maintain clear and professional communication with customers, providing timely and accurate information.Qualifications:Education: College graduate with at least 6 months of experience in a BPO setting, preferably healthcare account.Experience: Proven experience in a customer service role, preferably...

Handles member's inquiries regarding billing and claims.Maintain clear and professional communication with customers, providing timely and accurate information.Qualifications:Education: College graduate with at least 6 months of experience in a BPO setting, preferably healthcare account.Experience: Proven experience in a customer service role, preferably...

1. Claims Inspection and ProcessingReceives and registers claims received by the Branch;Evaluates the claims received in accordance with established procedures and authority limits.Endorses to the Claims Department all filed claims beyond the branch's settling authority for proper processing.Conducts site inspection, as necessary.Monitors the progress of...

POSITION SUMMARY:Assists the Branch Head in providing the necessary services to all the Clients, Customers, Agents and Brokers maintaining the quality of services within the standards of the Company.ESSENTIAL FUNCTIONS:Receives claims and underwriting advice and assists client, agent or broker or representative on matters relative to the request.Inspects,...

1. Claims Inspection and ProcessingReceives and registers claims received by the Branch;Evaluates the claims received in accordance with established procedures and authority limits.Endorses to the Claims Department all filed claims beyond the branch's settling authority for proper processing.Conducts site inspection, as necessary.Monitors the progress of...

Medical Biller – Remote Thrive Speech Therapy, PLLCAt Thrive Speech Therapy, PLLC, we help children find their voice—and we believe our team should feel equally supported and empowered. With eight clinics across the Houston area and continued plans for growth, Thrive is committed to providing compassionate, personalized therapy services and building a...