Professional Claim Processor

1 week ago


Tanauan, Calabarzon, Philippines beBeeMedicalClaims Full time $48,000 - $72,000
Job Title:

Medical Claim Examiner

Job Description

The Medical Claims Examiner plays a critical role in ensuring the accuracy and timeliness of medical claims processing. This position is accountable for investigating claim rejections, denials, and discrepancies to ensure prompt payment from various payers including Medicare, Medicaid, and commercial insurance.

This role requires strong analytical and problem-solving skills to identify root causes of claim issues and implement corrective measures to prevent future occurrences.

The Medical Claims Examiner works closely with healthcare providers and other stakeholders to resolve claims-related issues and maintain excellent customer service standards.

Required Skills and Qualifications
  • At least 2 years of experience in end-to-end revenue cycle processes, including eligibility verification, charge review, claims submission, AR follow-up, and denial management.
  • Strong knowledge of medical billing regulations, payer contracts, and government guidelines.
  • Excellent analytical, communication, and problem-solving skills.
Benefits

This permanent work-from-home opportunity offers a unique chance to work in a fast-paced environment with occasional periods of above-average pressure.

Others

Candidates must demonstrate an ability to work collaboratively with team members and healthcare providers to achieve business objectives.



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