Healthcare Claim Specialist

17 hours ago


Bacoor, Calabarzon, Philippines beBeeClaim Full time $45,000 - $60,000
Job Title: Healthcare Claim Specialist

This role focuses on reducing claim denials and recovering aging or stale claims in a healthcare setting.

The ideal candidate will be detail-oriented with experience in medical billing, claim management, or similar roles. They should thrive in a fast-paced, process-driven environment where accuracy is paramount.

Main Responsibilities:
  • Login to the client's billing system to review and manage denied or aging claims.
  • Analyze claim queues to identify root causes of denials and submit appropriate documentation or corrections.
  • Maintain open communication with insurance payers via phone calls to check claim statuses, appeal denials, and resolve payment issues.
  • Escalate recurring denial trends or system/process bottlenecks to the client's RCM lead for prompt resolution.
  • Keep detailed records of all payer interactions and claim activities.

Key skills and qualifications include excellent organizational and time management abilities, effective communication skills, and a strong attention to detail. If you are a motivated individual with a passion for resolving complex claims issues, we encourage you to apply for this exciting opportunity.

We offer a competitive compensation package and a collaborative work environment that values employee growth and development.



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