The Claims Examiner is responsible for reviewing, investigating, and adjudicating medical claims and provider disputes in accordance with payer guidelines and regulatory requirements. They must manage a high-volume workload while ensuring accuracy in coding, data entry, and reimbursement methodologies.
The Senior Vice President will lead and scale the company's healthcare-focused contact center business, overseeing both U.S. and offshore delivery operations. This role involves driving offering strategy, commercial growth, technology modernization, and the development of a shared services organization.
The role involves delivering financial and operational analysis, reporting, and forecasting to support informed decision-making by leadership. It also requires developing dashboards and leveraging data analytics to improve processes and identify performance trends.
The role involves verifying patient insurance eligibility and benefits while maintaining accurate demographic and insurance data in the EHR system. You will also communicate with patients regarding coverage and collaborate with internal teams to resolve discrepancies.
