Medical Revenue Cycle Professional

2 days ago


San Juan, National Capital Region, Philippines beBeeMedicare Full time ₱560,000 - ₱740,000
Job Description

The role of the Medical Billing Specialist plays a crucial part in our healthcare operations. This position is responsible for monitoring medical claims, investigating rejections and denials, and accurately documenting related account activities.

Key Responsibilities:
  • Verify patient eligibility and benefits to ensure accurate coverage.
  • Review and submit claims in a timely and compliant manner.
  • Obtain prior authorizations for smooth claim approvals.
  • Monitor claim status and conduct A/R follow-up for prompt payment.
  • Research and resolve claim rejections and denials to prevent future occurrences.
  • Generate and submit patient statements without patient interaction.
  • Document account activities accurately and on time.
  • Post manual payments, apply adjustments, and manage collections from various payers.
  • Understand and apply Medicare, Medicaid, and commercial insurance requirements.
  • Record contractual adjustments based on payer contracts and government regulations.
Required Skills and Qualifications
  • At least 2 years of experience in end-to-end revenue cycle processes.
  • Background in eligibility verification, charge review, claims submission, AR follow-up, and denial management.
  • Experience with DME and Apero is preferred.
  • Candidates must be able to work collaboratively and function in a fast-paced environment.


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