Professional Healthcare 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...

About the RoleWe are seeking a Claims Support Operations Specialist to join our team at Experian Health.Job OverviewThe Claims Support Operations Specialist will provide support to both Claims and Remit Clearinghouses, working closely with software development teams, customer support, enrollment, and payer services teams to monitor file activity and...

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...

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...

**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...

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: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...

About ExperianExperian is a leading healthcare technology company dedicated to simplifying the complex world of healthcare. Our mission is to use data-driven insights to improve patient outcomes and reduce administrative burdens.Job SummaryWe are seeking an experienced Healthcare Reimbursement Specialist to join our team in [location]. This role will be...

Job Title: Healthcare Appeals SpecialistAbout the Role:Experian is seeking a skilled Healthcare Appeals 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.Key Responsibilities:Implement a process for...

Job SummaryWe are seeking a skilled Claims Reimbursement Specialist to join our team in Costa Rica. This permanent home-based role requires strong analytical and communication skills, as well as experience working with managed care claims and appeals.Key ResponsibilitiesIdentify and pursue appeal opportunities with payers and networksAnalyze EOBs for...

About Us: At Experian, our mission is to simplify healthcare for all by leveraging data-driven insights. We strive to create a diverse and inclusive work environment where collaboration, innovation, and accountability thrive.Job Summary: As a Healthcare Reimbursement Specialist, you will play a critical role in monitoring contractual allowances, analyzing...

About the RoleWe are seeking a skilled Healthcare Data Analyst to join our team at Auxis. As a key member of our operations, you will play a crucial role in supporting government logging and discrepancy analysis.This position requires an individual who is detail-oriented, organized, and proficient in data analysis. The ideal candidate will possess excellent...

About the RoleWe are seeking a skilled Healthcare Appeals Specialist to join our team at Experian. In this role, you will be responsible for monitoring contractual allowances, analyzing and pursuing appeal opportunities with payers and networks, and reporting appeals performance.Key ResponsibilitiesImplement processes for identifying under-allowed claims...

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...

Auxis is a fast-growing business process outsourcing provider supporting one of its largest accounts, a leading healthcare services provider serving 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.As an appeals underpayment collector, you will ensure timely reimbursement to the provider by monitoring the claims...

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...

Auxis is seeking a skilled Healthcare Insurance Specialist to join our team in providing exceptional customer service and support. As an integral part of our team, you will play a crucial role in ensuring the accuracy and efficiency of insurance policy updates and reinstatements.About the Role:You will work closely with our clients to resolve account-related...

At Experian, we strive to simplify healthcare using data-driven insights. Our culture values openness, innovation, and accountability, making it an ideal place for a Medical Claims Auditor.The role involves monitoring contractual allowances, analyzing appeal opportunities with payers and networks, and reporting appeals performance. Key responsibilities...

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,...

Company Overview: People Working Corp is a leading consulting and outsourcing firm specializing in customer services.Job Description:We are seeking an Appeals Resolution Specialist to join our team in Heredia, Costa Rica. As an Appeals Resolution Specialist, you will be responsible for pursuing additional payment on open appeals through various means of...