Claim Processing Specialist

Out-of-Network Claim Resolution SpecialistThis role involves managing and resolving out-of-network claims efficiently, ensuring accurate processing and timely resolution. Key responsibilities include communicating with stakeholders, tracking claim status, and staying up-to-date on new payers and policies.Responsibilities:Manage OON claims from initial...

We are seeking experienced Billing Executives to manage and resolve Out-of-Network claims after initial submission.Key Responsibilities:Resolve OON claims post-submission, including denials and underpayments.Communicate with insurances, providers, and patients to address OON issues.Ensure accurate processing of claims, including eligibility verification and...

Key Responsibilities:Process and submit insurance claims with a high degree of accuracyPost payments, manage account adjustments, and reconcile balancesInvestigate and resolve denied or rejected claims promptlyFollow up with insurance companies for timely claim processingThe successful candidate will have a solid understanding of coding standards (CPT,...

The ideal candidate will possess a combination of technical knowledge and excellent communication skills. In this role, you will work directly with medical providers, insurance carriers, and other stakeholders to resolve complex workers' compensation claims.Key Job Functions:Manage and track outstanding WC receivables and liens.Foster relationships with...

Claims Resolution ExpertWe are seeking a Claims Resolution Expert to join our team. The ideal candidate will have extensive experience in medical billing and collection, with a proven track record of success in resolving outstanding claims and managing accounts.Claim Review and Analysis: Thoroughly review and analyze patient claims to identify errors,...

We are seeking detail-oriented and driven Workers' Compensation Collections Specialists to fill a key role in our organization. In this position, you will be responsible for managing the collections process for workers' compensation claims, including billing submission follow-ups, lien/unpaid bill resolution, and document preparation & handling.Key...

The ideal candidate for this position is an experienced Billing Executive with a proven track record of resolving Out-of-Network claims. Strong analytical and communication skills, as well as proficiency in Excel, are essential for success in this role.Responsibilities:Resolving OON claims post-submission.Communicating with clients and internal...

This Clinical Claims Auditor role requires a skilled professional with experience in medical billing, revenue cycle management, and healthcare compliance. The ideal candidate will have a strong focus on analyzing reports to calculate accurate anesthesia units, modifier usage, Payment Posting, claim follow-up, denial management, and efficient resolution of...

Billing Executives play a critical role in managing Out-of-Network claims. Key responsibilities include resolving claims post-submission, communicating with various stakeholders, ensuring accurate claim processing, tracking claim status, and staying informed about industry changes.Qualifications:Experience in OON claim resolution, with a focus on...

About the RoleWe are seeking a skilled Medical Billing Specialist to join our team. The successful candidate will be responsible for managing day-to-day tasks associated with medical billing.Main ResponsibilitiesProcess medical claims, verify insurance coverage, and resolve billing issuesCommunicate with patients and insurance companies to ensure accurate...