Lead and manage a team of 15-20 claims examiners to ensure accurate and compliant processing of medical claims. Drive performance against SLAs and quality standards while providing coaching and continuous process improvement.
ImagenetLLC
7 Remote Job Openings at ImagenetLLC
Provide exceptional support to healthcare providers by managing inquiries regarding claims, appeals, and payments via email, fax, and web. Ensure timely resolution of provider concerns while maintaining compliance with company policies and HIPAA standards.
Lead the organization's financial planning, budgeting, and forecasting functions while partnering with senior leadership to drive long-term value. Oversee M&A activities, including financial due diligence and post-acquisition integration planning.
The Senior Client Executive is responsible for achieving revenue growth through upselling and cross-selling while maintaining strong relationships with key client stakeholders. They lead contract renewals and develop Statements of Work to ensure client retention and success.
Review and adjudicate medical claims to ensure accurate coding and reimbursement in compliance with payer requirements. Verify patient eligibility and provider credentials while collaborating with stakeholders to resolve claim discrepancies.
Lead the end-to-end implementation and onboarding of new healthcare clients, translating requirements into operational workflows and SOPs. Oversee team performance, quality assurance, and training to ensure a successful go-live and stabilization phase.
Perform detailed audits of processed and denied claims using EZCap to ensure accuracy and regulatory compliance. Analyze provider disputes to identify root causes and implement process improvements to drive operational excellence.
