Claims Resolution Specialist

Job SummaryWe are seeking a Claims Resolution Specialist to join our team in Costa Rica. This is a permanent home-based role, and we require candidates to be highly motivated and results-driven.About ExperianExperian is a leading global information services company that helps businesses and consumers make informed decisions. We pride ourselves on creating a...

Job SummaryThe Medical Claims Resolution Specialist will be responsible for reviewing prebill accounts that do not have an authorization on file, identifying discrepancies and communicating with third-party payors to resolve issues prior to billing. The specialist will accurately document all communications and actions taken on the account in accordance with...

Auxis is a fast-growing business process outsourcing provider that supports leading healthcare services. This partnership serves 959 hospitals and 2979 physician practices, facilitating over 50 million patient encounters annually.As a Claims Resolution Associate at Auxis, you will analyze customer accounts to identify discrepancies between expected costs and...

Auxis is a fast-growing business process outsourcing provider seeking a highly skilled Healthcare Claims Resolution Specialist to support one of our largest accounts and leading provider of healthcare services.This esteemed organization serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually, making it a critical...

Auxis is seeking a highly skilled Healthcare Specialist to join our team in resolving pre-bill insurance claims.Job SummaryThis role involves reviewing pre-bill accounts for discrepancies, communicating with payors to resolve issues, and accurately documenting communications and actions taken. The ideal candidate will have excellent communication skills, be...

Role SummaryWe are seeking a skilled Healthcare Claims Specialist to join our team. In this role, you will be responsible for monitoring contractual allowances, analyzing and pursuing appeal opportunities with payers and networks, and reporting appeals performance.About the RoleImplement process for identifying under-allowed claims using software and other...

**Job Summary:**We are seeking a skilled Healthcare Claims Specialist to join our team at Auxis. This role will involve reviewing customer accounts and identifying discrepancies between expected costs and payer payments, ensuring an efficient billing process for medical providers.**Responsibilities:Perform government discrepancy analysis and processes...

About People Working CorpOur company specializes in consulting and outsourcing, with a presence in Heredia, Costa Rica. We are seeking a highly skilled Lead Collector and Resolution Specialist to join our team.Job SummaryThe Lead Collector and Resolution Specialist will be responsible for resolving outstanding claims and appeals in a timely manner, ensuring...

At People Working Corp, we are seeking a skilled Professional Appeals Resolution Specialist to join our team in Heredia, Costa Rica. In this role, you will be responsible for pursuing additional payment on open appeals through various means of communication with payers and patients.Key Responsibilities:Pursue timely payment and resolution of appeals by...

**Job Summary:**Auxis is seeking a highly organized and detail-oriented Healthcare Insurance Claims Specialist to join our team. As a key member of our client's operations, you will play a vital role in ensuring the timely and accurate processing of insurance claims.About Auxis:We are a fast-growing business process outsourcing provider dedicated to...

Role Summary:You will be working for Auxis to provide support to a leading healthcare services provider. This provider serves a large number of hospitals and physician practices with numerous patient encounters annually.Key Responsibilities:As a Tri-Care Clerk, you will review customer accounts and identify discrepancies between expected costs and payer...

About AuxisAuxis is a dynamic company that prioritizes employee growth and development, empowering you to advance your career. Our culture fosters collaboration towards common goals, with a focus on continuous improvement.We offer a comprehensive benefits package, including health insurance, vision, dental, transportation subsidy, Asociacion Solidarista,...

Auxis is a fast-growing business process outsourcing provider that supports leading healthcare services companies. As a Medical Claims Verification Specialist, you will play a critical role in ensuring the accuracy and timeliness of insurance policy updates in various databases.**Key Responsibilities:**Review patient accounts for accuracy prior to sending...

Estimate salary: $45,000 - $65,000 per year.About the RoleWe are seeking a skilled Medical Claims Reimbursement Specialist to join our team at Auxis. As an Appeals Underpayment Collector, you will play a critical role in ensuring timely reimbursement to healthcare providers, promoting fair medical expenses for patients.ResponsibilitiesTriage incoming appeals...

Job OverviewWe are seeking a skilled Appeals Resolution Specialist to join our team at People Working Corp in Heredia, Costa Rica.

About the RoleWe are seeking an Appeals Resolution Specialist to join our team at People Working Corp. This is a fantastic opportunity for individuals who enjoy working with customers and have excellent communication skills.

Job Summary:You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services. This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.As a Medical Insurance Claims Examiner, you will review...

About AuxisAuxis is a dynamic and innovative organization seeking a highly skilled Pre-Bill Denial Claims Specialist to join our team.Job SummaryWe are looking for a detail-oriented and results-driven professional to work on pre-bill accounts, resolving discrepancies and communicating with third-party payors. The ideal candidate will have excellent...

Job Summary:The Data Analyst - Healthcare Discrepancy Specialist is responsible for supporting all activities related to government logging and discrepancy analysis function which includes verifying the accuracy of calculated discounts and analyzing discrepancies to determine root cause and resolution steps.Key Responsibilities:Monitor and resolve unpaid...

At People Working Corp, we are seeking a skilled Senior Financial Claims Specialist to join our team. This role is responsible for investigating and resolving overpayment discrepancies, credit balances, returned hospital reimbursement checks, and addressing patient concerns.This position offers an exciting opportunity to work in a hybrid mode (onsite for the...