Healthcare Claims Processor

20 hours ago


Makati City, National Capital Region, Philippines beBeeClaims Full time ₱300,000 - ₱450,000
Medical Billing Specialist Job Summary

We are seeking a dedicated and detail-oriented Medical Biller to join our team. The ideal candidate will have strong organizational skills, exceptional accuracy in data entry, and experience in managing medical claims and insurance processes.

Key Responsibilities:
  • Audit claim information into the system and maintain organized spreadsheets with precision and efficiency.
  • Track payments and denials, ensuring claims are processed efficiently and accurately.
  • Resubmit denied or incorrect claims and resolve any related issues promptly, demonstrating excellent problem-solving skills.
  • Prepare and deliver monthly claim billing reports and summaries, showcasing analytical skills.
  • Contact insurance agencies to address inquiries and resolve claim denials, utilizing effective communication skills.
  • Leverage tools such as ClickUp, Google Suite, and Trizetto Simple Claim to manage workflows effectively and increase productivity.
Requirements:
  • Experience in medical billing and claims management, with a strong focus on accuracy and attention to detail.
  • Proficiency in using ClickUp, Google Suite (Docs, Sheets, etc.), and Trizetto Simple Claim, with the ability to learn new technologies quickly.
  • Strong analytical and problem-solving skills, with the ability to analyze claim denials and determine the best course of action.
  • Excellent communication skills, with the ability to handle insurance inquiries and resolve issues professionally.
  • Self-motivated, organized, and capable of meeting deadlines in a fast-paced environment, with a strong work ethic and commitment to excellence.


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