Medical Claims Resolution Specialist

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...

About UsGrupo Stt is a leading management consulting and outsourcing firm focused on helping organizations achieve peak performance in their back-office operations.Salary and BenefitsOur base salary for this position is $635,000 colones, and we offer a bonus of $180,000 colones paid after 60 days. We also provide a monthly transportation subsidy of $30,000...

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...

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 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...

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...

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...

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...

**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...

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...

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 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...

About the RoleWe are seeking a highly skilled Prebill Denial Claims Specialist to join our team at Auxis. As a key member of our operations team, you will play a critical role in ensuring the efficient processing of prebill accounts, resolving discrepancies, and communicating with third-party payors.This is an excellent opportunity for individuals who are...

About the RoleWe are seeking a highly skilled Medical Device Sterilization Specialist to join our team at Viant Medical. In this critical role, you will be responsible for providing support to sterilization projects and programs.

**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...

Job OverviewAuxis is seeking a highly skilled Medical Reimbursement Specialist to join our team in the Eastern Time Zone. As an appeals underpayment collector, you will be responsible for monitoring claims processes to ensure timely reimbursement to healthcare providers.The ideal candidate will have a strong understanding of customer service principles and...

Job OverviewAuxis is a dynamic company that prioritizes employee growth and development, empowering you to advance your career. As a Senior Appeals Specialist, you will play a crucial role in resolving claims efficiently.ResponsibilitiesTriage incoming inventory for the appeals team, ensuring appeal criteria are metCompose technical denial arguments for...