medical claims processor

WHEALTH INTERNATIONAL L.L.C

<ul><li>Analyze medical claims for accuracy, ensuring all details align with provided documentation and coding guidelines.</li><li>Investigate and resolve claim discrepancies, contacting providers and patients to gather necessary information and clarify issues.</li><li>Process claims efficiently using specialized software, meeting daily processing targets and maintaining a high level of accuracy.</li><li>Verify patient eligibility for benefits, confirming coverage details and communicating any limitations to relevant parties.</li></ul>

Medical Claims Processor

Northwest Administrators

<div>Are you looking for a new career in a challenging industry? Does paid training for a job that provides a sense of accomplishment as you help others sounds like your perfect fit? If so, check out our role on our pension claims processing team!

What you'll be doing...

As a pension claims processor, you will be assisting customers who are going through a significant change in their life&mdash;planning for retirement. You will have your own case load to manage that requires timely and accurately performed tasks according to benefit plan rules and federal time restrictions. You will:
<ul>
<li>Meet with customers, in person and by phone, to explain the claims process</li>
<li>Verify benefit eligibility and follow up on eligibility issues</li>
<li>Correspond with customers about documents necessary to complete their benefit claim</li>
<li>Accurately enter data into claims processing system</li>
</ul>
Successful completion of the 12-week paid training program is required! Training begins in our Seattle, WA office on January, 13th, 2026.

Who you are...
<ul>
<li>Organized. Able to juggle and prioritize workloads, have strong analytical skills</li>
<li>Communicator. Strong verbally and in writing including interpersonal skills</li>
<li>Service Minded. Passionate about customer service-delivering it like you expect to receive it</li>
<li>Detailed. Attentive to detail with excellent problem-solving skills</li>
<li>Technically Savvy. Proficient with technology, intermediate level with Excel and Word</li>
</ul>
Who we are...

Northwest Administrators, Inc. is an industry leader in third-party administration of employee benefits. We administer one of the largest multi-employer pension plans in the country, along with numerous large health and welfare plans. As part of our team, you will benefit from many training and development opportunities and can expect a better-than-market benefits package.
<ul>
<li>Union scale wages, raises every 6 months, starting at $24.64/hr up to $34.30/hr.</li>
<li>Medical, Dental, Vision &amp; Rx benefits</li>
<li>Employer provided/fully funded Defined Benefit Pension</li>
<li>Up to 8.6 days of Paid Leave and 10 Holidays</li>
<li>Strong team environment with good work-life balance</li></ul><div> 
Equal Employment Opportunity

NWA is proud to be an Equal Employment Opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, national origin, sex, sexual orientation, gender identity or expression, age, physical or mental disability, marital status, amnesty, veteran status, citizenship, family medical history or genetic information or any other characteristic protected by local, state, or federal laws. NWA prohibits any discrimination or harassment based on any of these characteristics.

We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact Human Resources at HR@nwadmin.com to request accommodation.

Northwest Administrators Inc. | Privacy Policy (nwadmin.com)</div></div>

Benefit Processor

Nextcare

<div>
 
 Job Overview
 
 
 
 The
 
 Claims Payment Processor &amp; Reconciliation
 
 
 Officer
 
 main duties are; to manage financial transactions between medical providers, insurance companies, and internal finance teams to ensure timely and accurate claims payments, resolve any discrepancies, to report the processed claims to the payer, prepare EFTs (Electronic fund transfer) for claims, updates the accounting and other financial software, and send statement of accounts and outstanding to our clients. This role also incudes the receivables calculation and collection from Providers.
 
 
 
 What You Do
 
 
 
 <ul>
 <li>
 Generates regularly outstanding reports from all the payers and send them to the payers monthly
 </li>
 <li>
 Prepare the payments for the providers within the TAT
 </li>
 <li>
 Monitors the Claims aging payments flow from all payers and follow up on payments when needed.
 </li>
 <li>
 Ensures the financial transactions are booked in a timely manner and are compliant with proper supporting backup.
 </li>
 <li>
 Ensures control procedures are followed.
 </li>
 <li>
 Ensures all accounting deadlines are met.
 </li>
 <li>
 Provides professional correspondence internally and externally, i.e. members of insurance companies and their client-related claims.
 </li>
 <li>
 Resolves discrepancies.
 </li>
 <li>
 Monitors transactions to determine accuracy, completeness and conformance to established policies and internal procedures.
 </li>
 <li>
 Keeps track of records and files and provide correct information of record details when required.
 </li>
 <li>
 Calculation and collection of receivables from the providers.
 </li>
 <li>
 Organizes all data and files for easy access
 
 
 </li>
 </ul>
 
 What You Bring
 
 
 
 <ul>
 <li>
 Bachelor&rsquo;s Degree; Finance / Account or equivalent background preferred.
 </li>
 <li>
 1+ years relevant experience; in a TPA , Hospitals or Medical Centers is an added advantage.
 </li>
 <li>
 High sense of responsibility
 </li>
 <li>
 Team player.
 </li>
 <li>
 Physically fit to carry out duties.
 </li>
 <li>
 Legally permitted to work in the country of operations.
 </li>
 <li>
 Fluency in MS Office (Excel, Word, Outlook, PowerPoint) and general internet navigation and research skills
 
 
 </li>
 </ul>
 At Allianz Partners, AI is revolutionizing customer service and claims management through innovative solutions. These AI-driven tools enhance productivity by streamlining complex claims processes, reducing administrative burdens, and accelerating resolution times. Our AI-powered technology has made claims processing faster, offering quicker resolutions. All while ensuring human oversight for claims to maintain service integrity. By embracing AI and Emerging Technologies, Allianz Partners continues to lead the industry, meeting ever-changing customer needs with innovative solutions. Our commitment to Ethical AI practices safeguards data integrity and trust, ensuring responsible deployment across all operations. This approach not only enhances customer experiences but also supports strategic initiatives like fraud detection and personalized product offerings, solidifying Allianz Partners' position as a leader in the insurance sector.
 
 
 81880 | Finance &amp; Accounting | Professional | Non-Executive | Allianz Partners | Full-Time | Permanent
 
 
 Allianz Group is one of the most trusted insurance and asset management companies in the world. Caring for our employees, their ambitions, dreams and challenges, is what makes us a unique employer. Together we can build an environment where everyone feels empowered and has the confidence to explore, to grow and to shape a better future for our customers and the world around us.
 
 
 At Allianz, we stand for unity: we believe that a united world is a more prosperous world, and we are dedicated to consistently advocating for equal opportunities for all. And the foundation for this is our inclusive workplace, where people and performance both matter, and nurtures a culture grounded in integrity, fairness, inclusion and trust.
 
 
 We therefore welcome applications regardless of ethnicity or cultural background, age, gender, nationality, religion, social class, disability or sexual orientation, or any other characteristics protected under applicable local laws and regulations.
 
 
 
 Great to have you on board.
 
 Let's care for tomorrow.
</div>

Finance - Claims Payment Processor & Reconciliation-Ops

Alliance Insurance Abu Dhabi

Responsibilities: Receive, review, and process medical insurance claims submitted by policyholders or healthcare providers.
Adjudicate claims based on policy terms, coverage limits, and medical necessity criteria.
Verify the accuracy and completeness of claim forms, medical records, and supporting documentation.
Investigate questionable claims by contacting healthcare providers, requesting additional information or documentation, and analysing medical records.
Make decisions on claim approvals, denials, or requests for additional information based on investigation findings and policy guidelines.
Ensure timely and accurate processing of approved claims for payment, including coordinating with finance departments and third-party administrators.
Communicate with policyholders, healthcare providers, and internal stakeholders regarding claim status, decisions, and any required actions.
Maintain detailed records of claims, correspondence, and investigation outcomes in accordance with regulatory requirements and company policies.
Ensure compliance with healthcare regulations, coding standards (e.g., ICD-10, CPT), and company policies throughout the claims process.
Provide excellent customer service to policyholders and healthcare providers, addressing inquiries and resolving issues related to claims.
 Qualification &amp; Skills: <ul>
<li>Bachelor of Medicine, Bachelor of Surgery (MBBS), Nursing degree, or relevant medical degree from an accredited institution.</li>
<li>Experience in the relevant health insurance industry is preferred.</li>
<li>Minimum knowledge of computer skills, including proficiency in Excel and other relevant software applications.</li>
<li>Strong analytical, communication, and problem-solving skills.</li>
<li>Attention to detail and ability to work efficiently in a fast-paced environment.</li>
<li>Ability to prioritize tasks and meet deadlines effectively.</li></ul>

Senior claims officer

Tech Minds Venture

Job Description: We are seeking a Medical Billing Executive to join our back-office team, specializing in Accounts Receivable (AR) and billing operations. The ideal candidate will handle claim submissions, denials, rejections, reconciliations, and payment posting with accuracy and efficiency. This role requires strong analytical abilities, excellent communication skills, and hands-on experience with leading medical billing software and EHR systems.Key Responsibilities:<ul><li>Prepare and submit medical claims accurately to insurance companies.</li><li>Perform AR follow-ups on unpaid and denied claims to ensure timely reimbursement.</li><li>Identify and resolve claim denials, rejections, and discrepancies.</li><li>Post payments, adjustments, and reconcile patient and insurance accounts.</li><li>Maintain detailed billing records and ensure compliance with HIPAA policies.</li><li>Communicate professionally with insurance representatives and internal teams.</li><li>Generate AR reports and assist in claim status tracking.</li></ul>Qualifications:<ul><li>Minimum 1 year of experience in US medical billing and AR follow-up.</li><li>Strong understanding of CPT, ICD, and modifier usage.</li><li>Hands-on experience with medical billing software and EHR systems.</li><li>Proficiency in:</li><li>Tebra</li><li>AdvancedMD</li><li>Office Ally</li><li>eClinicalWorks (eCW)</li><li>Athenahealth</li><li>CollaborateMD</li><li>Ability to manage claims, denials, rejections, reconciliation, and billing.</li><li>Excellent English communication and problem-solving skills.</li></ul>Position Type: Full-time Work Hours: 8:00 PM &ndash; 5:00 AM PST Salary Range: PKR 40,000 &ndash; 70,000 (based on experience and performance)Job Type: Full-timePay: Rs40,000.00 - Rs70,000.00 per monthWork Location: In person

Medical Billing Executive – Back Office (AR & Billing)

Hiffey

Claims Med pioneers in Medical Billing for Healthcare providers in the United States. We are looking for fresh, energetic individuals who can not only add value to our firm, but also find endless opportunities in a growing firm. We are currently hiring for our Medical billing/AR/Credentialing teams and looking for candidates who are willing to learn and apply themselves in a short period of time. Job Description<ul><li>Medical records evaluation</li><li>Insurance eligibility verification</li><li>Claim generation and submission</li><li>Follow-up on pending claims</li><li>Account Receivables</li></ul>Requirements<ul><li>Night shift availability (7pm to 4am)</li><li>Mondays to Fridays</li><li>Graduation (required)</li><li>English Proficiency is must</li></ul>Location Shaheed-e-Millat Rd, Karachi Paid training will be provided. Finalists will begin a 3-month probation period and will be re-evaluated before becoming permanent employees. Permanent employees enjoy several performance, and punctuality based bonuses, along with other perks. Please submit your resumes and begin your journey of becoming an integral part of the Claims Med family.Job Type: Full-timePay: Rs45,000.00 - Rs50,000.00 per monthWork Location: In person

Medical Billing Analyst(Male)

Macrise Tech Solutions

Job Title: Medical Billing &amp; Collections Specialist Location: Wapda Town, Lahore (if you want to include location)We are seeking a highly organized and detail-driven Medical Billing &amp; Collections Specialist to join our healthcare revenue cycle team. The ideal candidate will be responsible for accurately preparing insurance claims, managing patient billing, and ensuring timely payment collection. This role requires strong analytical skills, attention to detail, and effective communication with patients, insurance payers, and internal teams to support smooth billing operations and maintain strong cash flow.Key ResponsibilitiesMedical Billing<ul><li>Prepare and submit timely and accurate insurance claims and patient invoices.</li><li>Review all claims for accuracy, correct coding, and compliance with payer and regulatory guidelines.</li><li>Maintain organized and up-to-date billing records within the practice management system.</li><li>Process adjustments, credit memos, and payments accurately.</li><li>Verify and update patient demographics and insurance details regularly.</li><li>Generate monthly billing statements and custom Revenue Cycle Management (RCM) reports.</li><li>Assist the accounting team with reconciliations and month-end reporting.</li><li>Identify and recommend improvements to enhance billing accuracy and workflow efficiency.</li></ul>Collections<ul><li>Follow up proactively on outstanding insurance claims and patient balances to secure timely payments.</li><li>Manage and monitor Accounts Receivable (A/R) aging reports with focus on overdue accounts.</li><li>Coordinate with insurance providers to resolve delays, underpayments, and denials.</li><li>Handle patient billing inquiries professionally and set up payment arrangements when appropriate.</li><li>Work with patient services and billing teams to address complex collection cases.</li><li>Document all collection activities, communication, and follow-ups accurately in the system.</li></ul>Job Type: Full-timePay: Rs40,000.00 - Rs70,000.00 per monthAbility to commute/relocate:<ul><li>Wapda Town: Reliably commute or planning to relocate before starting work (Required)</li></ul>Application Question(s):<ul><li>Willing to work the night shift?</li></ul>Experience:<ul><li>Medical Billing: 1 year (Preferred)</li></ul>Language:<ul><li>English (Required)</li></ul>Work Location: In person

Claims & Collections Specialist – Medical Billing

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