Claiming Staff

Key ResponsibilitiesReview denied medical claims to determine reasons for denial (coding errors, missing information, medical necessity, eligibility, etc.).Collect, organize, and verify supporting documentation needed for appeals or auditPrepare and submit claim audit packets for internal review or external payor reconsideration.Collaborate with clinical...

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...

JOB RESPONSIBILITIES:Assist S.O or patients in their inquiries about philhealth requirements and policies.Generates PhilHealth Benefit Eligibility Form (PBEF) for accurate checking of member or patients eligibility to avail of the benefit claim.Monitors doctors' validity of accreditation prior to Philhealth deductions.Prepares Daily Discharge Report from...

Do you thrive in resolving vehicle insurance claims and negotiating outcomes?Can you confidently communicate with insurers and third parties?Are you calm, detail-focused, and driven to get results for clients?Join VA PlatinumAbout the RoleWe are searching for an Insurance Claims Virtual Assistant with solid experience in motor vehicle insurance claims. You...

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...

Our US based Client is seeking an entry level attorneysJob Overview As an Entry-Level Attorney, you will have the opportunity to kick-start your legal career in a supportive and challenging environment. This role offers exposure to a wide range of legal matters yet will have a focus on Accident and Injury as well as VA Claim Appeals. This role provides...

Job Overview:Join our growing Healthcare Account and be part of a team that supports members, providers, and healthcare professionals. You'll assist with benefits inquiries, claims, authorizations, and more—ensuring customers receive quality support for their healthcare needs.Key Responsibilities:Handle inbound and outbound calls related to healthcare...

Staff Outsourcing Solutions Is Currently Looking ForCUSTOMER SERVICE REPRESENTATIVES-VOICE for a new Healthcare Account(onsite assignment, graveyard shift)Manage incoming calls from policyholders regarding insurance claims, coverage, and benefits.Respond promptly to emails and inquiries through various communication channels, including chat, social media,...

Performs administrative tasks for a non-life insurance broker. Job duties include communicating with clients for renewals of insurance policies and new business proposals. Does marketing tasks to look for potential clients to expand the existing current business. Applicant should have a good customer service skills. Knowledge in non-life insurance and basic...

DUTIES AND RESPONSIBILITIES: Implements and set-up global standards for Yamaha 3S Shop service guidelines. Gathers service documents, judgments of warranty claims and updates for any warranty issues and concerns. Initiate promotional event including service marketing activities to reach Yamaha Dealers and Customers especially remote areas. Improves customer...