Healthcare Claims Specialist

14 hours ago


Davao City, Davao, Philippines beBeeSpecialist Full time $9,600
Job Title: Healthcare Claims SpecialistJob Description:

A Healthcare Claims Specialist plays a vital role in healthcare facilities by submitting claims to insurance companies. The daily responsibilities include processing data from medical coders, ensuring claims are processed and paid, verifying insurance coverage, reviewing denied claims, and assisting patients with billing questions.

Main Responsibilities:
  • Manage inbound and outbound communications with patients, providers, and healthcare insurance companies regarding inquiries, appointments, and data verification
  • Maintain exceptional communication skills and phone etiquette
  • Assist with denials and follow-ups
  • Correct denial claims and resubmit claims
  • Submit electronic and paper claims to primary, secondary, and third-party insurance companies
  • Record and verify explanation of benefits
  • Provide administrative support including data entry, verifying insurance, follow-ups, authorizations, and collections for outstanding balances and receivables
Requirements:
  • Excellent verbal and written English communication skills
  • Customer service experience in Insurance Billing
  • HIPAA Certification is highly recommended
  • Strong time management and attention to detail
  • Impartial and highly organized
  • Computer savvy and great work attitude
  • Open to working flexible schedules
System Requirements:

Primary System:

  • Intel Core i5-5000 or AMD Ryzen 5 processor
  • 8GB RAM
  • Windows 10/11 64-bit or macOS Ventura operating system
  • Noise-cancelling headset and camera

Backup System:

  • Intel Core i5-5000 or AMD Ryzen 5 processor
  • 8GB RAM
  • Windows 10/11 64-bit or macOS Ventura operating system
  • Noise-cancelling headset (optional)

Power Supply - UPS:

  • Capable of powering the workstation for at least 3 hours
  • 240Wh or higher capacity
  • Able to accept all required plugs

Internet Connection:

  • DSL/Fiber connection with minimum 8mb/s speed


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