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DVA is not associated with this job posting Medical Claim Resolution Specialist https://lnkd.in/gETwQ2Jt Essential Duties and Responsibilities: Work claims that are pending, are unable to be released or have been denied or incorrectly paid by Insurance carriers. Review claims that have been put on hold, working to identify causes and address issues causing them to remain on hold. Work denials aiming to identify why claims have been denied, and handle follow-up accordingly. Provide insurance companies with additional information as necessary to process a claim correctly and/or send an appeal. Handle all correspondence via mail, email, and any necessary refunds. Performs other duties as assigned by management. #recruiter #jobshiring #jobfair #business #jobhiring #jobopportunities #joboffer #jobvacancies #education #joinourteam #wearehiring #joblisting #bhfyp #employmentopportunities #jobseeking #opportunity #jobopenings #jobsite #jobless #werehiring #cv #cfbr #entrepreneurship #excutiveassistant

"Expert Claims Handler with Proficiency in Medical Underwriting | Healthcare & Insurance Specialist." With nearly 5 years of dedicated service, my journey as a Claims Handler with S3 GLOBAL SOLUTIONS LLP has been nothing short of inspiring. From meticulously analyzing claims to steering complex underwriting decisions - my career has been a testament to my passion for blending analytical prowess with high-quality customer service. What fuels my drive? ✨ A solid grounding in evaluating files, ensuring that every detail is scrutinized for accuracy and compliance. The opportunity to collaborate closely with professionals, enabling informed decision-making that ultimately protects both companies and policyholders. A continuous quest for knowledge, staying abreast of the latest industry practices and innovations to deliver beyond expectations. As I look to the horizon, I'm eager to channel my experiences into a new challenge, specifically as a Claims Handler on a personal injury team. My aim? To not just meet the benchmarks, but to set them, contributing to a culture of excellence and innovation. 📢 I'm on the lookout for opportunities where I can leverage my expertise and make a meaningful impact. Do you know a team I can contribute to? Let's connect! Your insights or a simple share can pave the way for exciting new collaborations. #JobSearch #InsuranceIndustry #ClaimsHandling #ProfessionalGrowth #LetConnect

DVA is not associated with this job posting Claims Specialist, Homeowner Liability https://lnkd.in/gfVJFyuZ Key Responsibilities: (What you'll be asked to do) Investigate, analyze, and determine the extent of liability concerning third-party homeowner claims. Ensure that all assigned claims are resolved timely, reserved accurately, and handled according to company guidelines. Review incoming lawsuits for proper handling and work with counsel to develop an appropriate litigation strategy to include coverage liability and damages. Correspond and communicate with policyholders, agents, experts, and service providers to gather details and provide updates. Evaluate coverage and damages owed under the policy to determine payment or prepare disclaimers as needed. Create and maintain comprehensive claim handling notation and diary in our electronic claims management system and other related applications. #employment #jobs #hiring #job #jobsearch #recruitment #career #work #careers #recruiting #nowhiring #resume #jobhunt #business #jobseekers #hr #jobopening #staffing #humanresources #jobseeker #hiringnow #interview #recruiter #jobsearching #vacancy #covid #education #jobinterview #jobopportunity #employmentopportunities

Thrilled to share a glimpse into my role as a crucial bridge between the medical and insurance worlds! 🩺💼 As a medical underwriter based in vibrant Mumbai, I have the privilege of drafting peer reviews and rebuttal reports on behalf of esteemed doctors, supporting the insurance industry in making well-informed decisions. 📝💡 Every report is a meticulous endeavor, combining medical expertise with legal acumen to ensure accuracy and fairness for all parties involved. From evaluating medical records to crafting comprehensive assessments, each day presents a new challenge and opportunity to make a difference. 💪🔍 While my work is rooted in the medical realm, my focus remains on providing invaluable support to the insurance industry. Whether collaborating with insurers in Mumbai or liaising with our partners in New York, the goal is always the same: to uphold integrity, precision, and compassion in every report we produce. 🌐🤝 Interested in learning more about the intersection of healthcare and insurance? Or perhaps looking to connect with fellow professionals in the industry? Feel free to reach out or drop a comment below—I'm here and eager to engage! 📩💬 #MedicalUnderwriter #InsuranceIndustry #PeerReviews #RebuttalReports #Healthcare #LinkedInNetworking

Dear #recruiters, I'm here to show you some of the duties from my previous job. #rejections Once I obtained all the tools to help me succeed, I was able to run the rejection report. Once I opened the rejection report, I would: -Review the #invoice -Review the #audit reason for the rejection. -Update the invoice and #resubmit the #claim - Certain insurances required additional information such as obtaining an #authorization, researching if a patient has another insurance on file, which is also called Coordination of Benefits (#COB), and updating the subscriber information With several years of experience in claims processing, insurance verification, and patient service, I have developed a strong expertise in streamlining processes and ensuring compliance. #claimsprocessing #insuranceverification #compliance #medicalbilling #claims

🌟We’re Growing & You Can Grow With Us! 🌟 Hey there, LinkedIn/Facebook community! Our team at PPO Negotiation Solutions is on the hunt for an organized, detail-oriented superstar to join us as a Credentialing Coordinator. 🚀 What makes us excited to come to work every day? It's simple: our culture. We thrive in an environment built on respect, collaboration, trust, and open communication. Our remote work setup allows for flexibility, but it’s the support and camaraderie amongst the team that truly makes every challenge a pleasure to tackle. Now, let’s talk about the role. This 100% remote position is designed for someone who's got the keen eye of an eagle 🦅 and the organizational skills of a seasoned librarian 📚. You'll be handling Standardized Credentialing Applications, processing terminations, supporting a team of Project Managers and navigating OPT OUT forms with the precision of a master craftsman. You're the type who makes a verification call feel like a friendly chat, yet you're eagle-eyed enough to spot an expired document from a mile away. Your exceptional time management skills mean deadlines don’t scare you – they motivate you. If you’re nodding along, you might just be our ideal candidate. We’re looking for: Phone Enthusiast: Enjoys being on the phone with insurance companies, as 50% of the job involves phone-related tasks, completing verification calls, and coordinating energies between the Client and project manager. Phone Enthusiast: Enjoys being on the phone with insurance companies, as 50% of the job involves phone-related tasks, completing verification calls, and coordinating energies between the Client and project manager. . Problem Solver: Can manage contracts like a pro, ensuring smooth and efficient operations. Top-Notch Communicator: Articulates complex ideas with ease and clarity. Interpersonal Champ: Knows how to foster relationships and earn trust from colleagues and clients alike. Detail-Oriented: A master of detail – nothing gets past you. Independent Spirit: Can juggle multiple projects without breaking a sweat. Great Attitude: Brings positivity and enthusiasm to the team. Team-Oriented: Works well with others and contributes to a collaborative environment Does this sound like you? Do you love the idea of working with a team that values your input and treats you like the rockstar you are? If yes, we can’t wait to meet you! Let’s create some magic together and transform the PPO landscape, one credential at a time. If you have these skills, we have a training program to get you on track very quickly with this position. Interested? Apply now and let’s chat about how you can be a part of our PPO Negotiation family! 💼🎉 Click here to apply : https://lnkd.in/dSebJaGZ #Hiring #RemoteJob #CredentialingCoordinator #TeamCulture #PPOFamily #WorkFromAnywhere

DVA is not associated with this job posting AR Specialist 2 USA https://lnkd.in/gqa2DudB This position is responsible for Billing, Re-Billing, Post-payment and Account Follow-up and/or grievance preparation of assigned Client Hospital Accounts Receivable. Working at a Client site or in a Centralized location, responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs, managed care, commercial and other insurance groups. The Patient Account Specialist may serve as a liaison to clinical auditors, other team members, hospital staff, government agencies and health plans to facilitate the appropriate and prompt payment of claims. Essential Duties & Responsibilities: Verify/obtain eligibility and/or authorization utilizing payer web sites, client eligibility systems or via phone with the insurance carrier/providers Update patient demographics/insurance information in appropriate systems - Research/ Status unpaid or denied claims Monitor claims for missing information, authorization and control numbers (ICN//DCN) Research EOBs for payments or adjustments to resolve claim Contacts payers via phone or written correspondence to secure payment of claims Access client systems for payment, patient, claim and data info Follows guidelines for prioritization, timely filing deadlines, and notation protocols within appropriate systems #employeeexperience #people #culture #hiring #talent #skills #passion #leadership #hr #humanresources #team #strategy #hrstrategy #business #team #careers #employment #jobs #hiring #job #jobsearch #recruitment #career #work #careers #recruiting #nowhiring #resume #jobhunt #business #jobseekers #jobopening #jobseeker #hiringnow #interview #jobsearching #vacancy #cfbr #education #jobinterview #jobopportunity #employmentopportunities

We’re Growing & You Can Grow With Us! Hey there, LinkedIn community! Our team at PPO Negotiation Solutions is on the hunt for an organized, detail-oriented superstar to join us as a Credentialing Coordinator. What makes us excited to come to work every day? It's simple: our culture. We thrive in an environment built on respect, collaboration, trust, and open communication. Our remote work setup allows for flexibility, but it’s the support and camaraderie amongst the team that truly makes every challenge a pleasure to tackle. Now, let’s talk about the role. This 100% remote position is designed for someone who's has the keen eye of an eagle and the organizational skills of a seasoned librarian.  You'll be handling Standardized Credentialing Applications, processing terminations, supporting a team of Project Managers and navigating OPT-OUT forms with the precision of a master craftsman. You're the type who makes a verification call feel like a friendly chat, yet you're eagle-eyed enough to spot an expired document from a mile away. Your exceptional time management skills mean deadlines don’t scare you – they motivate you. If you’re nodding along, you might just be our ideal candidate. We’re looking for: Phone Enthusiast: Enjoys being on the phone with insurance companies, as 50% of the job involves phone-related tasks, completing verification calls, and coordinating energies between the Client and project manager. Problem Solver: Can manage contracts like a pro, ensuring smooth and efficient operations. Top-Notch Communicator: Articulates complex ideas with ease and clarity. Interpersonal Champ: Knows how to foster relationships and earn trust from colleagues and clients alike. Detail-Oriented: A master of detail – nothing gets past you. Independent Spirit: Can juggle multiple projects without breaking a sweat. Great Attitude: Brings positivity and enthusiasm to the team. Team-Oriented: Works well with others and contributes to a collaborative environment Does this sound like you? Do you love the idea of working with a team that values your input and treats you like the rockstar you are? If yes, we can’t wait to meet you! Let’s create some magic together and transform the PPO landscape, one credential at a time.   If you have these skills, we have a training program to get you on track very quickly with this position. Interested? Apply now and let’s chat about how you can be a part of our PPO Negotiation family! Click here to apply :  https://lnkd.in/eM3hv_ax #Hiring #RemoteJob #CredentialingCoordinator #TeamCulture #PPOFamily #WorkFromAnywhere

DVA is not associated with this job posting Insurance Biller - Medicare Dept. - REMOTE -Digitech https://lnkd.in/gXE6nGQN Essential Duties and Responsibilities: Work claims that are pending too long at Medicare, are unable to be released or have been denied or incorrectly paid by Medicare. Review claims that have been put on hold, working to identify causes and address issues causing them to remain on hold Work denials aiming to identify whether or not Medicare denied the claim correctly, and handle follow-up accordingly. Provide Medicare additional information as necessary to process a claim correctly and/or send an appeal. Handle all correspondence via mail, email and any necessary refunds; perform other duties as assigned by management #business #entrepreneurship #leadership #strategy #innovation #growth #success #management #marketing #sales #finance #productivity #networking #professionaldevelopment #career #teamwork #startup #smallbusiness #digitalmarketing #branding #customerexperience #technology #economy #investing #consulting #entrepreneurmindset #leadershipdevelopment #businessowner #worklifebalance #corporateculture