Medical Claims Analyst

**Claims Adjudicator** **Medellín - In-Person** **Permanent Position** **Salary Expectation: $3,500,000 to $4,000,000 (Depending on experience)** **Description**: The Claims Adjudicator is responsible for evaluating and processing claims in accordance with policy benefits and contractual conditions. Maintaining high-quality standards by ensuring accurate...

**Medical Coder and Biller ( Fully Remote job)** **Responsibilities**: **( On-Job Training will be provided)** - Accurately code diagnoses, procedures, and services using ICD and CPT codes. - Submit and process medical claims to insurance companies and follow up on unpaid claims - Review medical records and ensure proper documentation for billing -...

**Company Overview** At SproutLoud our people and culture are central to our success. You’ll find an environment that is 100% jerk free, where people share the values of putting clients first, being accountable, caring about your team and the quality of your work, inspiring others, and growing in your level of expertise and professional development....

**Company Overview** At SproutLoud our people and culture are central to our success. You’ll find an environment that is 100% jerk free, where people share the values of putting clients first, being accountable, caring about your team and the quality of your work, inspiring others, and growing in your level of expertise and professional development....

Job Requirements Chubb is the world’s largest publicly traded property and casualty insurer. With operations in 54 countries, Chubb provides commercial and personal property and casualty insurance, personal accident and supplemental health insurance, reinsurance and life insurance to a diverse group of clients. The company is distinguished by its...

We are seeking an experienced Insurance Data Specialist to join our team as a Liability Claims Advisor. In this role, you will be responsible for investigating data breach claims, complying with internal and external service level agreements, and handling confidential information in line with our data security protocols.About the RoleAs a Liability Claims...

At DAC Beachcroft LLP, we're seeking a highly skilled Data Breach Claims Specialist to join our team. This role offers a unique opportunity to work with a leading international legal business, advising insurers and corporate clients in their defence of claims.We're committed to building a diverse, inclusive, and authentic workplace that aligns closely with...

Duties Include: Resolve billing discrepancies and denials/rejections promptly and efficiently. Analyzing/Understanding Explanation of Benefits (EOB) or Remittance Advice (ERA) received from an insurance carrier and take appropriate action according to company guidelines/processes per the client. Follow-up with insurance companies via phone calls or...

Job Summary:We are seeking a skilled Medical Billing Specialist to join our team in Medellín. As a key member of our billing team, you will be responsible for ensuring accurate and timely claims processing.About the Role:You will work closely with our team to resolve billing discrepancies and denials/rejections promptly and efficiently.Analyze Explanation...

**ABOUT PRGX** **PRGX** Headquartered in Atlanta, Georgia, PRGX Global, Inc. is the world's leading provider of recovery audit services. The Company operates and serves clients in more than 30 countries with over 1,600 employees and provides its services to over 75% of the top 20 global retailers. PRGX provides a unique combination of audit, analytics and...

CHARGE ENTRY/MEDICAL BILLING EXPERIENCE IS A MUST! Title: Bilingual Billing Specialist. Purpose: The purpose Billing Specialist, is to accurately submit clean claims to all insurance carriers, gather proper documentation needed for claims submission, verify patient’s policies, and communicate effectively with facilities. Attractive Salary will be...

**Health Insurance Underwriting Specialist** **Medellín** **Description**: **Responsibilities**: - Medically underwrite risks presented by new and existing individual policies, adhering to health underwriting guidelines, procedures, and company standards. - Review pertinent medical history of applicants to assess the degree of risk and make acceptance...

The collection specialist is responsible for ensuring accurate billing, timely submission of electronic and/or paper claims, monitoring claim status, researching rejections and denials, documenting related account activities, posting adjustments and collections of different insurance payers. The collection specialist must possess critical thinking skills and...

**ABOUT PRGX** **SUMMARY**: Supports audit operations by typing in Excel or Proprietary software the information from the client documents Generates the databases from the clients AP software to provide it to all the audit assistants **JOB DUTIES & RESPONSIBILITIES**: - Provides administrative support to audit teams through various administrative audit...

**ABOUT PRGX** **JOB DUTIES & RESPONSIBILITIES**: - Provides administrative support to audit teams through various administrative audit tasks, - Performs data entry to support audits, - Organizes audit data, - Organizes and files claims, - Packages claims, - Tracks audit tasks, - Runs reports, and - Works with claims management system to track and maintain...

**ABOUT PRGX** **SUMMARY**: Supports audit operations by typing in Excel or Proprietary software the information from the client documents Generates the databases from the clients AP software to provide it to all the audit assistants **JOB DUTIES & RESPONSIBILITIES**: - Provides administrative support to audit teams through various administrative audit...

**ABOUT PRGX** **SUMMARY**: Supports audit operations by typing in Excel or Proprietary software the information from the client documents Generates the databases from the clients AP software to provide it to all the audit assistants **JOB DUTIES & RESPONSIBILITIES**: - Provides administrative support to audit teams through various administrative audit...

**Posición**: Provider Support Representative **Horario**:Disponibilidad de lunes a viernes de 8am - 7pm (Franja en la cual se asignarán los horarios) **Ciudad**:Medellín (On-site) **Remuneración**: Salario de $1,755,000, mas un auxilio extralegal de vivienda que se otorga atendiendo un plan de beneficios extralegales definidos por la mera liberalidad...

**ABOUT PRGX** **PRGX** Headquartered in Atlanta, Georgia, PRGX Global, Inc. is the world's leading provider of recovery audit services. The Company operates and serves clients in more than 30 countries with over 1,600 employees and provides its services to over 75% of the top 20 global retailers. PRGX provides a unique combination of audit, analytics and...

**ABOUT PRGX** **PRGX** Headquartered in Atlanta, Georgia, PRGX Global, Inc. is the world's leading provider of recovery audit services. The Company operates and serves clients in more than 30 countries with over 1,600 employees and provides its services to over 75% of the top 20 global retailers. PRGX provides a unique combination of audit, analytics and...