Senior Insurance Claims Specialist

1 day ago


Cebu City, Central Visayas, Philippines beBeeMedicinal Full time $30,000 - $45,000
Medical Billing Expertise

We are seeking a highly detail-oriented and analytical individual to fill the role of Medical Biller AR Followup Analyst. This is an excellent opportunity for a professional who thrives in a remote work environment and is well-versed in US-based insurance claims processing.

Primary Responsibilities:
  • Maximize reimbursement for healthcare practice owners by analyzing and resolving claim denials, underpayments, or delays.
  • Investigate root causes for claim issues and develop effective resolutions.
  • Collaborate with insurance carriers to follow up on unpaid claims, delayed processing, and underpayment.
  • Develop and execute strategies to appeal medical insurance claim denials.
  • Communicate with practice owners and clinicians to ensure accurate and complete data on insurance claims.
Requirements:
  • A minimum of 6 months experience in US-based AR follow-up and charge and payment posting.
  • Familiarity with the US medical insurance industry and insurance claims processing cycle.
  • Knowledge of ICD-10, CPT, and HCPC coding systems.
  • Understanding of CMS-1500 and UB-04 claim formats.
  • Experience with Vericle Software required.
  • Excellent listening, communication, and problem-solving skills.
  • Able to work independently and be self-motivated.
Benefits:
  • The successful candidate will have the opportunity to work from home within the Eastern Time Zone/US Shift compatible schedule.
  • Good internet access at home and mobile hotspot required.
  • Laptop/Desktop with at least 8 GB RAM necessary.
About the Role:

This is a full-time position requiring dedication and attention to detail.



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