Insurance Claims Examiner

hace 4 semanas


San Francisco, Heredia, Costa Rica Auxis A tiempo completo

Job Summary:

The Insurance Verification Agent role at Auxis involves ensuring timely and accurate updates of insurance policies in various databases, ensuring an efficient billing process for medical providers. You will play a key role in determining patient insurance status and coverage extent, and maintaining accurate patient accounts.

Key Responsibilities:

  • Review patient accounts for accuracy before submitting to outside collection vendors
  • Receive and review account change requests and update customer accounts accordingly
  • Update insurance plan information on customer accounts
  • Research vendor inquiries and respond promptly
  • Review correspondence in the CWF system and take necessary actions
  • Authorize affidavits related to patient billing as applicable
  • Ensure accurate vendor inventory reconciliation by completing reconciliations and updating I-Plans and placements as needed
  • Manage vendor onboarding and termination processes
  • Provide support during vendor transitions, including Medicaid Eligibility, Early Out, Primary, and Secondary agencies
  • Handle eRequest and correspondence from collection agencies
  • Respond to requests for research, contractual arrangements, audits, and other tasks

Requirements:

  • English-Spanish language proficiency (oral and written) at B2 level or higher
  • High school diploma or equivalent
  • At least 6 months of experience in data entry or customer service positions
  • A genuine interest in working with customers and providing high levels of customer satisfaction
  • Good communication and interpersonal skills
  • Demonstrated experience in providing excellent customer service in high-volume environments
  • Presentation and politeness are essential

  • Insurance Claims Examiner

    hace 4 semanas


    San Francisco, Heredia, Costa Rica Auxis A tiempo completo

    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 Tri-Care Clerk, you will review customer accounts and...


  • San Francisco, Heredia, Costa Rica Auxis A tiempo completo

    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...


  • San Francisco, Heredia, Costa Rica Auxis A tiempo completo

    **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...

  • Healthcare Specialist

    hace 4 días


    San Francisco, Heredia, Costa Rica Auxis A tiempo completo

    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...


  • San Francisco, Heredia, Costa Rica Experian A tiempo completo

    Job Title: Claims Support AnalystAt Experian Health, we're shaping the future of U.S. healthcare by driving innovations in revenue cycle management, identity management, patient engagement, and care management. As a Claims Support Analyst, you'll play a crucial role in ensuring seamless claims and remit processes for our clients.Key Responsibilities:Monitor...


  • San Francisco, Heredia, Costa Rica Experian A tiempo completo

    Job SummaryExperian Health is seeking a skilled Claims Support Analyst to join our team. As a key member of our revenue cycle management team, you will play a crucial role in ensuring the smooth processing of claims and remits for our clients.Main ResponsibilitiesProvide technical support to both Claims and Remit Clearinghouses, working closely with software...


  • San Francisco, Heredia, Costa Rica Experian A tiempo completo

    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...


  • San Francisco, Heredia, Costa Rica Auxis A tiempo completo

    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...

  • Global Treasury Expert

    hace 5 días


    San Francisco, Heredia, Costa Rica Workday A tiempo completo

    Job DescriptionWe are seeking a highly skilled Treasury Manager to join our growing team at Workday. As a key member of our global treasury operations, you will play a critical role in supporting all treasury-related and cross-functional activities.Responsibilities:Cash Management:Manage international daily liquidity and intercompany fundingPerform daily...


  • San Francisco, Heredia, Costa Rica Bosch Group A tiempo completo

    Job DescriptionThe Ebike Customer Support Specialist provides exceptional support to Bosch EBike Dealers in the US by answering incoming calls and offering top-notch customer service.ResponsibilitiesOffer Technical Support: Provide technical assistance to bike dealers in a confident, friendly manner, addressing their queries and resolving issues related to...


  • San Francisco, Heredia, Costa Rica Workday A tiempo completo

    Workday Treasury Manager Job DescriptionAbout WorkdayAt Workday, we're passionate about revolutionizing the enterprise software market. Our culture is driven by our value of putting our people first, and we prioritize the happiness, development, and contribution of every team member. We believe a healthy employee-centric, collaborative culture is essential...


  • San Francisco, Heredia, Costa Rica Auxis A tiempo completo

    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,...


  • San Francisco, Heredia, Costa Rica Experian A tiempo completo

    Job SummaryExperian is seeking a skilled Production Control Analyst II to join our team. As a key member of our IT operations team, you will be responsible for maintaining 24x7 production systems and processes.Key ResponsibilitiesAct as primary technical contact during shift for system monitoring, triage, and coordination of systems issues, file...


  • San José, San José, Costa Rica Iceberg Health Injury A tiempo completo

    About the RoleWe are seeking an experienced Injury Claims Liaison Specialist to join our team at Iceberg Health Injury. This is a dynamic and challenging role that requires strong communication and organizational skills.Key ResponsibilitiesMaintain compliance with all policies and procedures related to injury claims management.Manage large volumes of inbound...

  • Claims Adjuster

    hace 3 semanas


    San José, San José, Costa Rica Virginia Injury Law A tiempo completo

    At Virginia Injury Law, we are seeking a highly skilled Case Manager to support our attorneys and clients throughout the lifecycle of a case.Key ResponsibilitiesCoordinate between clients, legal staff, medical providers, and insurance companies.Develop and implement strategies to manage and resolve complex case matters.Provide exceptional support to...


  • San Rafael, Costa Rica Underwriting Solutions A tiempo completo

    **Company Description** We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. US Underwriting Knowledge - >5 years Loss Control and/or insurance underwriting experience - In-depth...


  • San José, Costa Rica Cognizant Technology Solutions A tiempo completo

    **Not Applicable** **Qualification**: **Graduate (exclusion**: BE/BTech/MCA) - For Medical Management Bachelor’s degree in Nursing or any health science related field. - For NA High School Equiv. **Responsibility**: **Business / Customer**: **Data Processes**: - Provide highest level of customer satisfaction. - Strive to understand and resolve...

  • Filing Analyst

    hace 5 meses


    San Rafael, Costa Rica Underwriting Solutions A tiempo completo

    **Company Description** We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. As a Filing analyst you will participate in the technical development of new and revised insurance programs...


  • San José, Costa Rica Go Lean Health A tiempo completo

    The Medical Virtual Assistant is responsible for the delivery of services or projects contracted by the Client. Services or projects include the following: - Scheduling - Manage the practice calendar by scheduling appointments in advance and sending appointment reminders to patients with upcoming visits. - Records Management - Tracking and recording all...


  • San José, San José, Costa Rica Go Lean Health A tiempo completo

    The Go Lean Health team is seeking a highly skilled Medical Virtual Assistant to deliver top-notch services to our clients. Key Responsibilities:Scheduling - Manage the practice calendar by scheduling appointments in advance and sending appointment reminders to patients with upcoming visits.Records Management - Track and record all information for each...

  • Coordination Analyst

    hace 5 meses


    San Rafael, Costa Rica Underwriting Solutions A tiempo completo

    **Company Description** We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. As a Coordination analyst, you will participate in coordinating the filing and release of new and revised...

  • Editorial Analyst

    hace 5 meses


    San Rafael, Costa Rica Underwriting Solutions A tiempo completo

    **Company Description** We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. As an Editorial Analyst, you will shape electronic products during editing and implementation, shifting...

  • Editorial Analyst

    hace 5 meses


    San Rafael, Costa Rica Underwriting Solutions A tiempo completo

    **Company Description** We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. As an Editorial Analyst, you will shape electronic products during editing and implementation, shifting...

  • DevOps Engineer Ii

    hace 5 meses


    San Rafael, Costa Rica Underwriting Solutions A tiempo completo

    **Company Description** We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. - Administer and build Development Continuous Integration pipelines of moderate complexity. - Setup build...


  • San Rafael, Costa Rica Underwriting Solutions A tiempo completo

    **Company Description** We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. As an Editorial Analyst, you will shape electronic products during editing and implementation, shifting...


  • San Rafael, Costa Rica Underwriting Solutions A tiempo completo

    **Company Description** As an Editorial Analyst, you will shape electronic products during editing and implementation, shifting between various stages of the process throughout the day. You may also participate in projects and committees of interest to aid in efficiency and understanding. - Proofreader: Read a variety of electronic products, relying on house...

  • Proofreading Analyst

    hace 5 meses


    San Rafael, Costa Rica Underwriting Solutions A tiempo completo

    **Company Description** We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. - Proofreader: Read a variety of electronic products, relying on house style, established procedures and...

  • Payroll Specialist

    hace 3 días


    San José, San José, Costa Rica Pfizer A tiempo completo

    Job SummaryWe are seeking a highly skilled Payroll Specialist to join our team at Pfizer. In this role, you will be responsible for conducting payroll activities, providing basic support, analyzing issues, and troubleshooting customer queries.The successful candidate will have excellent communication skills, both written and verbal, in English and...


  • San José, San José, Costa Rica Western Union A tiempo completo

    Role OverviewWe are seeking a skilled Senior Coordinator, Product Operations to join our Retail Money Orders (RMO) team at Western Union. This role is responsible for ensuring outstanding customer service quality levels, maintaining valid supporting documents for all transactions, and providing research and recommendations to address gaps in delivering...

  • Software Engineer

    hace 5 meses


    San Rafael, Costa Rica Jornaya A tiempo completo

    **Company Description** We help the world see new possibilities and inspire change for better tomorrows. Our analytic solutions bridge content, data, and analytics to help business, people, and society become stronger, more resilient, and sustainable. **Position Overview**: We are looking for experienced software engineers to join our high performing...


  • San Francisco, Costa Rica Cognizant A tiempo completo

    **Not Applicable** **Qualification**: **Graduate (exclusion**: BE/BTech/MCA) - For Medical Management Bachelor’s degree in Nursing or any health science related field. - For NA High School Equiv. **Responsibility**: **Business / Customer**: **Data Processes**: - Efficiently Process predefined number of transactions as assigned with highest level of...


  • San José, San José, Costa Rica Zscaler A tiempo completo

    Global Benefits Operations at ZscalerThe Benefits Operations Specialist will play a crucial role in delivering an exceptional employee experience through the development and implementation of a comprehensive benefits program.**Key Responsibilities:**Track and maintain key metrics and dashboards related to benefit program utilizationCollaborate with internal...


  • San José, San José, Costa Rica Cognizant Technology Solutions A tiempo completo

    Job SummaryWe are seeking a highly skilled Customer Service Representative to join our team at Cognizant Technology Solutions. As a Customer Service Representative, you will be responsible for providing exceptional customer service and support to our clients.Key ResponsibilitiesProvide highest level of customer satisfaction.Strive to understand and resolve...