Medical Claims Specialist

Job SummaryThe Healthcare Claims Specialist plays a crucial role in ensuring accurate and timely reimbursement for healthcare services. As a key member of our team, you will be responsible for monitoring contractual allowances, analyzing appeal opportunities with payers and networks, and reporting appeals performance.Duties and ResponsibilitiesImplement...

About the Role:You will be working for a fast-growing business process outsourcing provider to support one of our largest accounts and leading healthcare services company.This company serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.As a Clinical Claims Specialist, you will review customer accounts and...

Company OverviewAspen Medical is a leading provider of medical services to the cruise industry. Our team of experienced physicians and medical professionals are dedicated to delivering high-quality care to guests and crew on board.Job SummaryWe are seeking a highly skilled Shipboard Medical Specialist to join our team. The successful candidate will be...

Company OverviewExperian is a global information services company, unlocking the power of data to create opportunities for consumers, businesses, and society.We have been recognized as one of the 100 Best Companies to work for by FORTUNE and as one of the World's Most Innovative Companies by Forbes Magazine.Job SummaryThe Healthcare Claims Analyst - Appeals...

Job Overview:Auxis is a fast-growing business process outsourcing provider seeking highly motivated individuals to support one of our largest accounts, a leading healthcare services provider. This esteemed organization serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.Responsibilities:Triage incoming claims...

Company Overview:Auxis is a leading provider of healthcare services, serving 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.We are committed to delivering exceptional support to our clients, ensuring efficient billing processes for medical providers.As a member of our team, you will play a critical role in...

About the Job:This role involves working for a leading healthcare services provider, serving 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.Responsibilities:Triage incoming claims for the Appeals team, ensuring appeal criteria are metCompose technical denial arguments for reconsideration, including written and...

Job OverviewWe are seeking a skilled Medical Appeals Coordinator to join our team. In this role, you will be responsible for monitoring contractual allowances, analyzing appeal opportunities with payers and networks, and reporting appeals performance.Key ResponsibilitiesBatch appeals by payer or network, CPT/HCPCS code combination, error type, or...

Job Requirements:To succeed as a Medical Reimbursement Analyst, you will need:A High School diploma or equivalent and some university studies preferredA minimum of 1-2 years' experience working with managed care claims and appeals for healthcare professional services (physicians and other healthcare professionals)Experience in a production environment...

About the JobViant Medical is seeking an experienced Industrial Equipment Specialist to join our team. The successful candidate will be responsible for ensuring the smooth operation of our manufacturing and facilities equipment.This is a critical role within our organization, requiring a high level of technical expertise and attention to detail. The ideal...

Job DescriptionWe are seeking a highly motivated and detail-oriented Manufacturing Process Improvement Specialist to join our team at Viant Medical. In this role, you will be responsible for designing, implementing, and optimizing manufacturing processes to improve productivity and efficiency.Main Responsibilities:Develop and implement process improvements...

About the RoleWe are seeking a highly skilled Appeals Resolution Expert to join our team at Auxis. As an Appeals Resolution Expert, you will play a critical role in delivering end-to-end solutions for technical appeals.Key Responsibilities and DeliverablesTriage incoming inventory for the Appeals team, validating appeal criteria is met.Compose technical...

About the RoleThis position is responsible for reviewing and resolving post-discharge, prebill account discrepancies. The ideal candidate will possess strong analytical skills, effective communication abilities, and a commitment to delivering high-quality results.Main ResponsibilitiesReview and resolve prebill accounts with missing authorizations or ALOS vs....

About AuxisAuxis is a fast-growing business process outsourcing provider that supports leading healthcare services providers. Our team plays a crucial role in ensuring timely and accurate updates to insurance policies.Your RoleAs an Insurance Plan Clerk, you will work with our largest accounts to determine patient insurance status and extent of benefits. You...

Company Overview:At Experian, our mission is to simplify healthcare for all by leveraging data-driven insights. We strive to bring people together who are driven by purpose and want to make a difference.We aspire to create a diverse group of individuals and minds who embody the following values:O - Open: Collaborative mindset with a growth orientationN -...

Job OverviewViant Medical seeks a skilled Operational Excellence Specialist to drive continuous improvement initiatives and enhance manufacturing efficiency.Main Responsibilities- Analyze current manufacturing processes and identify opportunities for improvement.- Develop and implement new processes and methods to increase productivity and quality.-...

Job OverviewAuxis is seeking a highly motivated Appeals and Reimbursement Specialist to join our team. As an Appeals and Reimbursement Specialist, you will play a critical role in ensuring timely reimbursement to healthcare providers while maintaining fairness for patients.About the RoleIn this position, you will be responsible for monitoring the claims...

About ExperianAs a leading provider of data-driven insights, Experian is dedicated to creating a better tomorrow for all. We believe that diversity, equity, and inclusion are essential to achieving this goal.Job DescriptionThe Healthcare Appeals Analyst will be responsible for:Implementing processes for identifying under-allowed claims.Reviewing and...

Overview:Auxis is a leading provider of business process outsourcing solutions, serving major clients across the globe.We are seeking a highly skilled Medical Claims Specialist to join our team.About the Role:Work closely with customers to review their accounts and identify discrepancies in insurance paymentsAnalyze claims data to determine patient insurance...

Auxis is a fast-growing business process outsourcing provider offering support to leading healthcare services providers. Our team works with 959 hospitals and 2979 physician practices, handling over 50 million patient encounters annually.We are seeking an Insurance Verification Specialist to review customer accounts and identify discrepancies between...