claims processor

Sana Benefits

<div><div>Sana&rsquo;s vision is to make healthcare easy.</div><div></div><div> 
All of us can agree healthcare is simply too hard in the US. And our members feel that pain day in and day out. We aim to create an experience that simply feels easy when you need to access our healthcare system. If you need something, you know where to go to get it with care that is a click (or as few clicks as possible!) away.</div><div></div><div> 
What&rsquo;s beautiful about a vision oriented toward &ldquo;easy&rdquo; is how it imparts a singular feeling. We instinctively know as humans when something is easy versus hard, even if we can&rsquo;t explain why. We fight as a company to make an easy pathway available to all our members at every stage of their healthcare journey. If you feel passionate about delivering better healthcare to small businesses through a seamless care experience and affordable benefits, join us!</div><div></div><div> 
We&rsquo;re currently seeking a Claims Processor who will be responsible for processing insurance claims in a timely and accurate manner. This includes gathering and verifying claim information, researching and resolving claim issues, and communicating with claimants to ensure their satisfaction. 
</div><div></div> 
<div>We are building a distributed team and encourage all applicants to apply, regardless of location.</div>
<h3 class="jobSectionHeader">What you will do:
</h3><ul><li>Ensure the timely and accurate adjudication and payment of medical claims, following health plan policies and procedures, consulting with team members, care partners and advisors as necessary. Maintain accurate and up-to-date notes of all claims processed.</li><li>
Process appeals and disputes by gathering and verifying claim information, researching and resolving claim issues, and communicating outcomes to appropriate parties.</li><li>
Become an in-house expert on all claims-related matters and provide answers and support to Customer Success and Customer Support teams.</li><li>
Identify operational issues and escalate them to the appropriate internal team.</li><li>
Contribute to teamwide goals to improve claims processes and integrate additional functions into our daily operations.</li><li>
Work independently and as part of a team to meet deadlines and daily processing quotas. Your success will be measured on your ability to complete daily and weekly targets.</li></ul><h3 class="jobSectionHeader">
What you will do:
</h3><ul><li>Two-year degree and/or two years of claims adjudication and processing experience</li><li>
Unparalleled attention to detail. You love getting into the weeds to get things done.</li><li>
Excellent written and verbal communication skills.</li><li>
Ability to work independently and as part of a team.</li><li>
Fast learner. Entrepreneurial. Self-directed.</li><li>
Ability to meet deadlines and work under pressure.</li><li>
Experience in claims processing, knowledge of insurance principles and procedures is a plus.</li></ul><h3 class="jobSectionHeader">
Benefits:
</h3><ul><li>Stock options in rapidly scaling startup</li><li>
Flexible vacation</li><li>
Medical, dental, and vision Insurance</li><li>
401(k) and HSA plans</li><li>
Parental leave</li><li>
Remote worker stipend</li><li>
Wellness program</li><li>
Opportunity for career growth</li><li>
Dynamic start-up environment</li></ul><div>
Our cash compensation amount for this role is targeted at $22.00 - $28.00 per hour (40 hours/week) for all US-based remote locations. Final offer amounts are determined by multiple factors including candidate experience and expertise and may vary from the amounts listed above.</div>

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.</div>

Claims Processor

Mercy Medical Equipment Supply

Location: main shah faisal road karachi Salary: PKR 75,000 - 150,000 About Us: We are looking for a Medical Order Processor to handle medical order submissions and ensure compliance with US healthcare standards. The ideal candidate will be responsible for processing medical claims, reviewing patient documentation, and liaising with insurance companies. Key Responsibilities:<ul><li>Process medical orders efficiently as per US healthcare regulations.</li><li>Verify medical documentation and ensure accurate claim submission.</li><li>Communicate with healthcare providers, insurance companies, and patients to confirm coverage.</li><li>Ensure compliance with US healthcare billing and coding standards.</li></ul>Required Skills:<ul><li>2-3 years of experience in medical order processing.</li><li>Familiarity with US healthcare systems and insurance policies.</li><li>Strong knowledge of CPT, ICD-10, and HCPCS codes.</li><li>Proficiency in billing software and claim processing tools.</li><li>English verbal &amp; written communication is mandatory.</li></ul>Benefits (Post-Probation): ✅ Medical OPD &amp; hospitalization (family included). ✅ Fuel allowance. ✅ Generous leave policy. ✅ Provident Fund (as per company policy).Job Type: Full-timePay: Rs80,000.00 - Rs150,000.00 per monthWork Location: In person

Medical Order Processor – Urgently Required (US-Health Sector)

Medi Assist Insurance TPA Private Limited

Job Responsibilities :01. Process assigned number of Preauth / Claims with quality and error free per day02. Maintain daily TAT03. Send daily reports04. Needs good Medical knowledge to review medical documentsEducation : BHMS / BAMS/ BDS/BUMSLocation: IBC Knowledge Park, 4th Floor, D Block, Bannerghatta Road, Dairy Circle, BangaloreWorking Mode : Working from officeThanks, Suma C.K.Job Type: FresherPay: ₹21,000.00 - ₹25,000.00 per monthApplication Question(s):<ul><li>This position is for working from Office and working location is Dairy Circle, Bangalore. Are you ok?</li></ul>Work Location: In person

Freshers (Doctors) _ Non Clinical _ Working from Office

Link K Insurance TPA P Ltd

Greetings From Link - K Insurance TPAWe are hiring Claims Senior Executive for our claims Department at our Chennai Corporate office.Year of Experience : 1 to 3 YearsQualification: Any DegreeIndustry: TPA \ Health Insurance (Indian Based Claims )Roles and Responsibility <ul><li>Accurate and efficient processing of claims, including verifying policy coverage, assessing claim validity, and calculating the appropriate payable amount.</li><li>Get fully trained in claims software and complete understanding of features and validations in the system</li><li>Get good understanding of process flow, movement of claim and stakeholders expectations w r t claims services</li><li>Accurate data entry of bills into appropriate columns/fields</li><li>Verify the accuracy of details entered at inward level and correcting wherever required.</li><li>Adhere to SoPs defined</li><li>Processing the number of claims allocated. Prioritizing claims as required.</li><li>Be aware of all insurers SoPs and application of relevant protocols.</li><li>Be updated about the new products and features in health policies</li><li>Interaction with customer service team and help with any clarifications in billing</li><li>Ensure clarity in communication to customers.</li><li>Identify and report potential fraudulent claims, following established procedures and guidelines.</li><li>Coordinate with doctors and CRMs to aid in assessing claims accurately.</li><li>Maintain daily report of claims processed and report to team lead.</li><li>Actively participate in training sessions and workshops to enhance knowledge of insurance products, claims processing techniques, and industry developments.</li><li>Assist medical officers in responding to audit queries of insurers.</li></ul>Important Note:<ul><li>Health Insurance / TPA profile only eligible</li><li>Interested candidate can share your updated resume to careers@linkktpa.com</li></ul>Job Types: Full-time, PermanentPay: ₹25,000.00 - ₹30,000.00 per monthBenefits:<ul><li>Provident Fund</li></ul>Experience:<ul><li>Cashless and Reimbursement: 1 year (Required)</li></ul>Work Location: In person

Claims Senior Executive

Terminal One Limited

We are seeking a Medical Biller responsible for managing insurance claims, ensuring timely reimbursements, and maintaining accurate billing records. The ideal candidate will have hands-on experience in medical billing, insurance follow-ups, and compliance procedures.Responsibilities&middot; Prepare and submit medical claims (electronic and paper) to insurance providers&middot; Verify patient insurance coverage, eligibility, and benefits&middot; Review and validate medical codes (ICD-10, CPT, HCPCS)&middot; Identify, correct, and resubmit denied or rejected claims&middot; Follow up on unpaid claims and manage accounts receivable\&middot; Maintain accurate billing records and documentation&middot; Ensure compliance with HIPAA and payer regulations&middot; Coordinate with medical staff to resolve billing or documentation issues&middot; Provide support to patients regarding billing inquiriesQualifications&middot; Proven 3 to 5 years of experience in medical billing or healthcare administration&middot; Strong understanding of ICD-10, CPT, HCPCS coding systems&middot; Knowledge of Medicare, Medicaid, and commercial insurance guidelines&middot; Proficiency with medical billing software and EMR/EHR systems&middot; Strong attention to detail and analytical skills&middot; Excellent communication and problem-solving abilities&middot; Medical billing certification (CMRS, CPB, or equivalent) is a plusSkills&middot; Medical Billing &amp; Claims Processing&middot; Insurance Verification&middot; Accounts Receivable (A/R) Management&middot; Denial Management&middot; HIPAA Compliance&middot; Data Accuracy &amp; Documentation&middot; Customer ServiceInterested candidates should email their updated resume to: cvresumex@gmail.com latest by December 31st, 2025.Kindly mention the position i.e. &ldquo;Medical Biller&rdquo; in the subject.Job Type: Full-timeWork Location: In person

Medical Biller

isoftronics

A Hospital Insurance Executive manages patient insurance processes, handling pre-authorizations, claims processing (cashless/reimbursement), liaising with TPAs/insurers, ensuring policy compliance, and guiding patients on coverage/costs, requiring strong communication, accuracy, and knowledge of medical coding/regulations to resolve discrepancies and ensure timely payments. Key Responsibilities:<ul><li>Patient &amp; Coverage Management: Verify patient insurance, confirm benefits, and explain out-of-pocket costs.</li><li>Claims Processing: Handle pre-authorization, submission, tracking, follow-up, denials, and appeals for claims.</li><li>Liaison &amp; Communication: Coordinate with patients, doctors, and insurance companies (TPAs).</li><li>Policy &amp; Compliance: Ensure adherence to hospital policies and insurance regulations; stay updated on changes.</li><li>Documentation &amp; Reporting: Maintain accurate records, generate MIS reports, and ensure complete documentation for claims.</li><li>Billing Support: Assist with billing and discharge processes for insured patients.</li></ul>Job Types: Full-time, PermanentPay: ₹20,000.00 - ₹25,000.00 per monthBenefits:<ul><li>Provident Fund</li></ul>Work Location: In person

Insurance Executive (HOSPITAL SECTOR)

DOCTORS URGENT CARE

We are seeking a detail-oriented Medical Biller to join our healthcare team. The ideal candidate will be responsible for handling all aspects of the billing cycle, including claim submissions, payment posting, denial management, and patient billing inquiries. You will work closely with providers, insurance companies, and patients to ensure accurate and timely reimbursement for services rendered.Key Responsibilities:<ul><li>Prepare, review, and submit medical claims to insurance companies (electronic and paper).</li><li>Verify patient insurance coverage and eligibility.</li><li>Post insurance and patient payments accurately.</li><li>Follow up on unpaid or denied claims and resolve billing discrepancies.</li><li>Handle appeals and resubmissions to ensure proper claim adjudication.</li><li>Generate patient statements and assist with billing inquiries.</li><li>Maintain up-to-date knowledge of insurance guidelines, CPT/ICD-10 coding, and payer policies.</li><li>Collaborate with the front desk and clinical staff to resolve billing and documentation issues.</li><li>Ensure compliance with HIPAA and all billing regulations.</li></ul>Qualifications:<ul><li>Education: High school diploma or equivalent (Associate degree preferred).</li><li>Experience: Minimum 6 months of medical billing experience (experience in [e.g. urgent care] preferred).</li><li>Software Skills: Experience with medical billing software (e.g., AdvancedMD) and proficiency in Microsoft Excel.</li><li>Strong understanding of EOBs, CPT, HCPCS, and ICD-10 codes.</li><li>Excellent attention to detail and problem-solving skills.</li><li>Strong communication and organizational skills.</li></ul>Job Type: Full-timePay: Rs35,000.00 - Rs50,000.00 per monthApplication Question(s):<ul><li>Have you worked on Advanced MD?</li></ul>Experience:<ul><li>Medical Billing: 2 years (Required)</li></ul>Work Location: Remote

Junior Medical Biller

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