Claims Resolution Specialist

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...

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...

Job Title: Collections SpecialistIn this role, you will be responsible for managing the collections process for workers' compensation claims. Key responsibilities include billing submission follow-ups, lien/unpaid bill resolution, and document preparation & handling. Familiarity with California WC regulations is essential, as is a proactive approach to...

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...

Medical Claims SpecialistWe are seeking a skilled Medical Claims Specialist to join our team in handling medical claims and ensuring timely payment processing.The ideal candidate will be responsible for submitting and tracking medical claims, analyzing denials and rejections, and reconciling accounts.Key Responsibilities:Submit medical claims to insurance...

Billing Professional Wanted:We are looking for a detail-oriented Billing Specialist to manage billing operations, including claim submission, payment posting, and follow-ups. This individual will be responsible for ensuring compliance with coding standards and payer-specific policies.Key Tasks:Submit insurance claims accurately and efficiently.Post payments,...

Job ResponsibilitiesThis Sr. A/R Specialist role involves preparing and submitting vision claims daily via electronic or paper methods, processing payments from insurance companies promptly, resolving insurance and patient billing complaints, and following up on aging claims or delinquent accounts.In addition, this position requires participation in...

We are looking for a highly skilled Medical Claims Specialist to join our team.About the JobThe successful candidate will be responsible for submitting medical bills/claims electronically to insurance companies and following up on sent bills/claims.They will also communicate with clients on a daily basis to address any issues that may arise.Key...

We are seeking an experienced medical biller to join our team. In this position, you will be responsible for a variety of tasks requiring data analysis, in-depth evaluation, and sound judgment.The ideal candidate will possess in-depth knowledge of billing software and medical insurance policies, as well as excellent written and verbal communication...

We are seeking detail-oriented and driven Workers' Compensation Collections Specialists to join our team. In this role, 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. This position requires familiarity...