Prebill Denial Claims Specialist
hace 14 horas
We 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 detail-oriented, have strong communication skills, and thrive in a fast-paced environment.
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Pre-Bill Denial Claims Specialist
hace 3 semanas
San Francisco, Heredia, Costa Rica Auxis A tiempo completoAbout 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...
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Medical Claims Resolution Specialist
hace 14 horas
San Francisco, Heredia, Costa Rica Auxis A tiempo completoJob DescriptionThe Medical Claims Resolution Specialist will be responsible for reviewing post-discharge prebill accounts without authorization, ALOS versus authorized days variances, and other discrepancies that may result in account denial by the payor.They will communicate with third-party payors to resolve discrepancies prior to billing, accurately...
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Medical Claims Resolution Specialist
hace 1 día
San Francisco, Heredia, Costa Rica Auxis A tiempo completoJob 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...
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Pre-Bill Denial Resolution Specialist
hace 2 meses
San Francisco, Heredia, Costa Rica Auxis A tiempo completoAuxis is seeking a highly skilled Pre-Bill Denial Resolution Specialist to join our team. This role will be responsible for reviewing post-discharge, prebill accounts without authorization and resolving discrepancies prior to billing.About the RoleAs a Pre-Bill Denial Resolution Specialist, you will play a crucial part in ensuring that accounts are...
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Medical Claims Reimbursement Specialist
hace 3 semanas
San Francisco, Heredia, Costa Rica Auxis A tiempo completoEstimate 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...
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Healthcare Specialist
hace 2 meses
San Francisco, Heredia, Costa Rica Auxis A tiempo completoAuxis 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...
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Professional Healthcare Claims Resolution Specialist
hace 2 meses
San Francisco, Heredia, Costa Rica Auxis A tiempo completoAuxis 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...
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Healthcare Claims Specialist
hace 1 día
San Francisco, Heredia, Costa Rica Experian A tiempo completoRole 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...
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Claims Resolution Specialist
hace 4 semanas
San Francisco, Heredia, Costa Rica Experian A tiempo completoJob 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...
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Key Accounts Healthcare Claims Specialist
hace 2 meses
San Francisco, Heredia, Costa Rica Auxis A tiempo completoAuxis 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...
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Healthcare Support Professional
hace 2 días
San Francisco, Heredia, Costa Rica Auxis A tiempo completoAbout AuxisAuxis is a fast-growing business process outsourcing provider, partnering with leading healthcare services companies to deliver exceptional support. With 959 hospitals and 2979 physician practices under its belt, Auxis serves over 50 million patients annually.Job SummaryYou will be working as a Prebill Denials Analyst, providing crucial support to...
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Claims Resolution Specialist
hace 2 días
San Francisco, Heredia, Costa Rica Grupo Stt A tiempo completoAbout 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...
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Healthcare Claims Specialist
hace 3 semanas
San Francisco, Heredia, Costa Rica Auxis A tiempo completo**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...
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Senior Appeals Specialist
hace 3 semanas
San Francisco, Heredia, Costa Rica Auxis A tiempo completoJob 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...
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Medical Reimbursement Specialist
hace 14 horas
San Francisco, Heredia, Costa Rica Auxis A tiempo completoJob 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...
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Medical Claims Verification Specialist
hace 5 días
San Francisco, Heredia, Costa Rica Auxis A tiempo completoAuxis 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...
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Healthcare Insurance Claims Specialist
hace 2 meses
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...
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Senior Appeals Resolution Specialist
hace 2 meses
San Francisco, Heredia, Costa Rica Auxis A tiempo completoAbout 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,...
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Senior Financial Claims Specialist
hace 4 semanas
San Francisco, Heredia, Costa Rica People Working Corp A tiempo completoAt 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...
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Insurance Claims Specialist
hace 2 meses
San Francisco, Heredia, Costa Rica Auxis A tiempo completoRole 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...