Medical Claims Specialist

1 week ago


Biñan, Calabarzon, Philippines beBeeClaims Full time ₱300,000 - ₱450,000
Job Description

ClinicMind is seeking a highly skilled and detail-oriented Medical Claims Analyst to work from home. The successful candidate will be responsible for maximizing insurance reimbursement for healthcare practice owners, discovering root causes for medical insurance claim denial, underpayment, or delay and proposing resolutions.

Key Responsibilities
  • Maximize insurance reimbursement for healthcare practice owners
  • Discover root causes for medical insurance claim denial, underpayment, or delay and propose resolutions
  • Interact with US-based insurance carriers to follow up on unpaid claims, delayed processing, and underpayment
  • Plan and execute medical insurance claim denial appeal process
  • Interact with US-based practice owners and clinicians on completing and correcting any missing or incorrect data on their insurance claims

As a Medical Claims Analyst, you will play a crucial role in ensuring the smooth operation of our clients' revenue cycle management processes.

Required Skills and Qualifications
  • Minimum of 6 months experience in US-based AR follow-up and charge and payment posting
  • Familiar with US medical insurance industry and insurance claims processing cycle
  • Knowledge of ICD-10, CPT, and HCPC
  • Understand CMS-1500 and UB-04 claim formats
  • Experience in Vericle Software
  • Excellent listening, communication, and problem-solving skills
  • Self-motivated and able to work autonomously
Benefits
  • Work-from-home opportunity
  • Flexible schedule
  • Opportunity to grow with a dynamic company
Seniority level
  • Entry level
Employment type
  • Full-time
Job function
  • Health Care Provider
Industries
  • Healthcare


  • Biñan, Calabarzon, Philippines beBeeMedicalBilling Full time ₱250,000 - ₱350,000

    We are seeking a highly skilled and detail-oriented professional to join our organization in the role of Medical Claim Specialist. In this position, you will be responsible for managing medical claims and insurance processes with accuracy and efficiency.Key Responsibilities:Claim Management: Accurately input claim information into the system, maintain...


  • Biñan, Calabarzon, Philippines beBeeBilling Full time $40,000 - $60,000

    Job Title:Medical Billing Specialist">Key Responsibilities:Manage denied or aging claims in the client's billing system.Identify root causes of denials and submit appropriate documentation or corrections.Make outbound phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues.Escalate recurring denial trends or...


  • Biñan, Calabarzon, Philippines beBeeContent Full time $75,000 - $93,000

    The role of Medical Content Specialist involves research and identification of Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria for an automated claims editing solution. This solution is utilized by medical insurance payers across the United States.ResponsibilitiesConduct research and identify...


  • Biñan, Calabarzon, Philippines beBeeClaims Full time $44,000 - $66,000

    Healthcare Claims SpecialistA vital role in healthcare facilities, the Healthcare Claims Specialist ensures accurate and timely submission of claims to insurance companies.The job involves daily tasks such as data entry from medical coders, verifying insurance coverage, reviewing denied claims, and assisting patients with billing inquiries.Key...


  • Biñan, Calabarzon, Philippines beBeeMedical Full time $45,000 - $60,000

    Job OverviewWe are seeking a highly skilled Medical Virtual Assistant to provide administrative and support services to healthcare professionals, medical practices, or organizations within the medical sector.Your responsibilities will include managing medical records efficiently, coordinating appointment schedules, overseeing billing and insurance claims,...


  • Biñan, Calabarzon, Philippines beBeeMedical Full time ₱2,200,000 - ₱3,500,000

    The role of Medical Billing Specialist is pivotal in ensuring timely and accurate reimbursement. This specialist will work directly in the client's billing system, managing claim queues, and communicating with payers to resolve payment issues.Key Responsibilities:Review and manage denied or aging claims in the client's billing systemIdentify root causes of...


  • Biñan, Calabarzon, Philippines beBeeRevenue Full time $55,000 - $65,000

    Medical Billing Specialist Job DescriptionWe are seeking a skilled Medical Billing Specialist to provide outsourced revenue cycle management services.Manage all aspects of insurance billing and processing including claim review, correction, submission, payment posting, researching claim rejections, aged claims, and submitting appeals.Coordinate with...


  • Biñan, Calabarzon, Philippines beBeeCoding Full time ₱2,500,000 - ₱4,000,000

    Healthcare Coding SpecialistThis is a vital role in the healthcare sector, where professionals play a crucial part in submitting accurate and timely medical claims.Main Responsibilities:Patient records are analyzed for physician/NP visits and home health start-of-care visits to ensure accuracy.Coding and billing processes are optimized to adhere to...


  • Biñan, Calabarzon, Philippines beBeeReimbursement Full time $50,000 - $70,000

    ClinicMind is seeking a Medical Biller AR Followup Analyst to maximize insurance reimbursement for healthcare practice owners. ResponsibilitiesMaximize insurance reimbursement for healthcare practice ownersDiscover root causes for medical insurance claim denial, underpayment, or delay and propose resolutionsInteract with US-based insurance carriers to...


  • Biñan, Calabarzon, Philippines beBeeMedical Full time ₱300,000 - ₱480,000

    Job DescriptionThe Medical Biller is responsible for posting medical charges, payments, and journal entries to patient accounts in a timely and accurate manner.About the RoleThis position involves working directly with insurance companies, healthcare providers, and patients to process and pay claims. The ideal candidate will have excellent communication...