Forward-Thinking Healthcare Professional

2 days ago


Cabuyao, Calabarzon, Philippines beBeeInsurance Full time ₱800,000 - ₱1,600,000

We are seeking a highly skilled and detail-oriented Medical Insurance Claim Analyst to join our team. As a Medical Insurance Claim Analyst, you will play a vital role in ensuring timely and accurate payment of medical claims.

Responsibilities
  • Maximize insurance reimbursement for healthcare practices by identifying and resolving claim denials, underpayments, and delays
  • Interact with insurance carriers to follow up on unpaid claims, delayed processing, and underpayment
  • Plan and execute medical insurance claim denial appeal process
  • Collaborate with practice owners and clinicians to ensure accurate and complete data on insurance claims
Requirements
  1. Minimum of 6 months experience in US-based AR follow-up and charge and payment posting
  2. College degree in Computer Engineering, Mathematics, or similar field
  3. Hands-on experience with data analysis and data classification
  4. Good analytical skills and attention to detail
  5. Familiarity with US medical insurance industry and insurance claims processing cycle
  6. Knowledge of ICD-10, CPT, and HCPC
  7. Understanding of CMS-1500 and UB-04 claim formats
Benefits
  • High comfort level working on Eastern Time Zone/US Shift
  • Good internet access at home
  • Mobile Hotspot
  • Laptop/Desktop of at least 8 GB
Working Conditions
  • Self-motivated and able to work autonomously
  • Experience with chiropractic, physical therapy, and mental/behavioral health specialties an advantage


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