Healthcare Claims Specialist

7 hours ago


Bacoor, Calabarzon, Philippines beBeeMedicalBiller Full time ₱320,000 - ₱480,000

A Medical Biller is a vital member of healthcare teams, working in facilities to submit claims to insurance companies. Key responsibilities include processing data from medical coders, ensuring timely claim processing and payment, verifying insurance coverage, reviewing denied claims, and assisting patients with billing queries.

  • Handle inbound and outbound calls for inquiries, appointments, and data verification
  • Contribute to denials and follow-ups
  • Resolve denial claims and resubmit them as necessary
  • Submit electronic and paper claims to primary, secondary, and third-party insurance providers
  • Verify and record explanation of benefits
  • Provide administrative support including data entry, insurance verification, follow-ups, authorizations, and collections on outstanding balances and receivables
Required Skills and Qualifications:
  • Exceptional verbal and written English communication skills
  • Customer service experience in Insurance Billing
  • HIPAA Certification is advantageous
  • Strong attention to detail
  • Impartiality
  • Highly organized
  • Proficient in computer software
  • Excellent work attitude and willingness to exceed expectations

System Requirements:

  • Intel Core i5-5000 (5th Gen or higher) or AMD Ryzen 5 or higher processor
  • 8.00 GB RAM
  • Windows 10/11 64-bit or macOS Ventura operating system
  • USB-type headset with noise-cancelling feature
  • Clear camera for video output


  • Bacoor, Calabarzon, Philippines beBeeClaim Full time $45,000 - $60,000

    Job Title: Healthcare Claim SpecialistThis role focuses on reducing claim denials and recovering aging or stale claims in a healthcare setting.The ideal candidate will be detail-oriented with experience in medical billing, claim management, or similar roles. They should thrive in a fast-paced, process-driven environment where accuracy is paramount.Main...


  • Bacoor, Calabarzon, Philippines beBeeClaims Full time ₱416,000 - ₱524,800

    Job Title: Healthcare Claims SpecialistJob DescriptionThe ideal candidate will possess strong attention to detail, a liking for systems and processes, and excellent written and oral communication skills.We are seeking an organized and efficient individual to verify insurance coverage for new and existing patients. The selected candidate will be responsible...


  • Bacoor, Calabarzon, Philippines beBeeBiller Full time $9,600

    Medical Billing is a crucial function in healthcare facilities, involving the submission of claims to insurance companies. Key responsibilities include processing data from medical coders, ensuring timely payment of claims, verifying insurance coverage, reviewing denied claims, and assisting patients with billing inquiries.Key Skills:Customer service...


  • Bacoor, Calabarzon, Philippines beBeeMedicalClaims Full time ₱70,000 - ₱85,000

    We are seeking a skilled Medical Claims Specialist to manage accounts receivables, coordinate with insurance companies and healthcare providers, handle denied claims, and ensure timely reimbursement of medical expenses.Key Responsibilities:Manage accounts receivables and maintain accurate recordsCoordinate claim submissions and follow-ups with healthcare...


  • Bacoor, Calabarzon, Philippines beBeeSpecialist Full time $35,000 - $45,000

    Job Title:Medical Billing SpecialistJob Description:We are seeking a detail-oriented individual to support our revenue cycle operations. The Medical Billing Specialist will primarily focus on reducing claim denials and recovering aging or stale claims.This role involves working directly in our billing system, managing claim queues, and communicating with...


  • Bacoor, Calabarzon, Philippines beBeeInsurance Full time ₱500,000 - ₱800,000

    We are seeking a Medical Claims Specialist to join our team. As a key member of our organization, you will be responsible for maximizing insurance reimbursement, identifying root causes for claim denial, and interacting with US-based insurance carriers.About the RoleMaximize insurance reimbursement for healthcare practice owners by ensuring accurate and...


  • Bacoor, Calabarzon, Philippines beBeeMedicine Full time ₱20,000 - ₱33,000

    Job DescriptionThe role of a Medical Claims Specialist is crucial in the healthcare industry as it involves maximizing reimbursements while maintaining compliance and accuracy.Responsibilities:Accurately posting medical charges, payments, and journal entries to patient accounts.Collaborating with insurance companies, healthcare providers, and patients to...


  • Bacoor, Calabarzon, Philippines beBeeUtilization Full time ₱55,000 - ₱155,000

    Job Title: Healthcare Utilization SpecialistThe Role:As a Healthcare Utilization Specialist, you will be responsible for assessing and interpreting customer needs, requirements, and medical records.Responsibilities:Review medical claims for medical necessityAssess and interpret customer needs, requirements, and medical recordsQualifications:Active PHRN and...


  • Bacoor, Calabarzon, Philippines beBeeMedicalBilling Full time ₱1,800,000 - ₱3,000,000

    Key Role SummaryThe Medical Billing Specialist is accountable for monitoring the status of medical claims, thoroughly investigating rejections and denials, and diligently documenting related account activities. This position requires a deep understanding of various eligibility requirements and payment methodologies.Job DescriptionMonitor medical claim...


  • Bacoor, Calabarzon, Philippines beBeeVerification Full time $45,000 - $65,000

    Job Title: Insurance Verification SpecialistWe are seeking a detail-oriented professional with expertise in Neurology and Allergy practices to ensure smooth billing and claims processing.This role involves verifying patient insurance coverage, benefits, and eligibility.Excellent opportunity for those with strong experience in healthcare insurance...