Medical Claims Processor

10 hours ago


Mabalacat, Central Luzon, Philippines beBeeMedical Full time $60,000 - $75,000

We are seeking a Medical Billing Specialist to support the revenue cycle operations of our healthcare client.

  • This role is focused on reducing claim denials and recovering aging claims in our billing system.
  • You will manage claim queues, communicate with payers to ensure timely reimbursement, and make outbound calls to resolve payment issues.

This opportunity is ideal for someone with experience in medical billing or claims follow-up who can thrive in a fast-paced environment.

Responsibilities:
  1. Review and manage denied or aging claims in our clients billing system
  2. Work claim queues to identify root causes of denials and submit necessary documentation or corrections
  3. Make phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues
  4. Evaluate recurring denial trends or system/process bottlenecks and escalate to the RCM lead
  5. Maintain accurate notes of all payer interactions and claim activities
  6. Assist with additional revenue cycle management workflows as needed to support efficient revenue operations

To be successful in this position, you should have 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up, familiarity with payer portals and billing systems, strong written and verbal communication skills, and comfort speaking with payers over the phone.



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