Medical Claims Analyst

Job PurposeThe representative is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.Duties and ResponsibilitiesFollow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.Meets and maintains daily productivity/quality standards established in...

Job Summary:The Senior Medical Coder is responsible for overseeing accurate and compliant medical coding practices, ensuring data integrity, and supporting rule and benefit development for claims processing and fraud, waste, and abuse (FWA) detection. This role involves managing coding schemas, conducting quality audits, and collaborating with...

Job SummaryThe Claims Resolution Specialist is responsible for following up on health insurance claims and resolving denied claims through thorough investigation and problem-solving. This role ensures timely reimbursement by addressing root causes of denials and working with insurance companies to secure payments.Responsibilities• Spends 6-8 hours of day...

Now hiring for Healthcare Specialist - Medical Account at Metro Manila Sites! We guarantee you an Easy and Fast One-day hiring process and earn up to 25k monthly plus more benefits! This is a limited slot and urgent hiring, so don't miss this career opportunity. Apply now! Responsibilities: • Assist patients with questions regarding insurance coverage,...

Duties and ResponsibilitiesFollow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websitesMeets and maintains daily productivity/quality standards established in departmental policiesUses the workflow system, client host system and other tools available to them to collect payments and resolve accountsAdheres to...

Job Description: Respond to inbound and outbound calls, emails, and chats from patients, members, or providers. Provide accurate information about healthcare plans, coverage, claims, billing, authorizations, and medical services. Handle escalations and resolve customer concerns with empathy, accuracy, and professionalism. Qualifications: College...

Job Summary:The Medical Coder is responsible for overseeing accurate and compliant medical coding practices, ensuring data integrity, and supporting rule and benefit development for claims processing and fraud, waste, and abuse (FWA) detection. This role involves managing coding schemas, conducting quality audits, and collaborating with cross-functional...

Position: Company NurseDepartment: HR / AdministrationReports To: HR Manager / Head of AdministrationLocation: [Company Location]Job Summary:The Company Nurse is responsible for promoting the health and safety of employees by providing first aid and medical care, managing workplace wellness programs, and ensuring compliance with occupational health and...

Easy, no-hassle and Fast One-day Hiring process! Earn up to 25k monthly plus more benefits! We are looking for a Healthcare Specialist Representative in our Metro Sites! This is for urgent hiring, don’t miss this opportunity and Apply Now! Responsibilities: • Manage healthcare-related inquiries, claims, and service requests with accuracy and...

Job descriptionInsurance OperationsPrimary Responsibilities:Handle insurance-related tasks and work independently across multiple client platforms.Improve operational efficiency by identifying issues, creating streamlined processes, and ensuring regulatory compliance.Deliver excellent customer service through effective communication, understanding client...