Dispute Resolution Manager

Denial Management SpecialistAs a Denial Management Specialist, you will be responsible for handling and resolving Out-of-Network claims that have been denied or underpaid after their initial submission. This role requires strong claim follow-up, denial management, and resolution skills, as well as staying updated on new payers and policies.Primary...

We are seeking detail-oriented and driven professionals to manage the collections process for workers' compensation claims, including billing submission follow-ups, lien/unpaid bill resolution, and document preparation & handling. This position requires familiarity with California WC regulations and a proactive approach to recovering outstanding balances.Key...

Billing Resolution SpecialistWe are seeking experienced professionals to manage and resolve Out-of-Network claims after initial submission. The ideal candidate will have a strong focus on claim follow-up, denial management, and efficient resolution of OON claims, while staying informed on new payers and policies.Key Responsibilities:Resolve OON claims...

Complaints Resolution LeadAbout the Role:The Complaints Resolution Lead will be responsible for overseeing and managing ongoing cases, providing guidance to improve service delivery and streamline processes. This role involves analyzing data, generating reports, and identifying areas for improvement to reduce complaints.Key Responsibilities:Reviewing and...

Job Title: Customer Experience Resolution LeadOverviewThe role of the Customer Experience Resolution Lead is to oversee and manage ongoing cases, ensuring a seamless customer experience. This involves advising on process improvements, maintaining data, and generating reports to identify trends.Main Responsibilities* Review and oversee ongoing cases with your...

We are currently seeking a highly skilled and detail-oriented Collections Specialist to manage our workers' compensation claims.About the Role:You will be responsible for overseeing the collections process, ensuring timely payment from insurance carriers and resolving any disputes or issues that may arise.The ideal candidate will possess excellent...

Occupational Psychologist RoleWe are seeking a highly skilled Occupational Psychologist to join our team. As an IO psychologist, you will play a crucial role in optimizing workplace dynamics and promoting employee growth.Job ResponsibilitiesConduct performance evaluations, coaching, and career development initiatives to enhance employee performance.Evaluate...

Claims Resolution ManagerThe role involves managing and resolving Out-of-Network claims after their initial submission. Strong claim follow-up, denial management, and efficient resolution of OON claims are essential, alongside staying up-to-date on new payers and policies.Main Duties:Resolve OON claims post-submission, addressing denials and...

We are seeking a Finance Administrator to support our expanding business. You will be working in a busy accounts department, responsible for assisting the Credit Control function by undertaking query resolution, debt chasing, answering emails and the telephone. This is an exceptional opportunity to join a reputable organisation who are looking for an...

This role involves working with various stakeholders, including patients, healthcare providers, and insurance companies, to ensure seamless claim processing and payment.Key responsibilities include reviewing health records, preparing and submitting claims, and resolving payment disputes.ResponsibilitiesVerify patient insurance coverage and manage accounts...