
Insurance Claim Resolution Specialist
23 hours ago
The role of a Collections Specialist involves handling and resolving insurance follow-up and denial issues to ensure accurate reimbursements from insurance companies.
Key Responsibilities:- Research and resolve payment discrepancies, collaborating with relevant parties to achieve efficient resolution.
- Analyze and manage the AR aging report, providing clear explanations of past due balances to management for strategic decision-making.
- Prioritize and work aged accounts on assigned payers, focusing on those approaching timely filing denial to minimize losses.
- Identify key issues or trends with accounts and develop targeted suggestions for resolutions to improve operational efficiency.
- Escalate exhausted appeals efforts for comprehensive resolution with payers.
Behavioral Standards:
- Exhibit exceptional customer service skills in everyday interactions, demonstrating empathy and understanding towards internal workforce and external customers.
- Maintain a courteous and respectful attitude in all work-related communications.
Communication/Knowledge:
- Deliver accurate and timely written and verbal communication of information, utilizing effective tone and language to ensure comprehension by all stakeholders.
- Demonstrate proficiency in using IT systems accurately and efficiently.
Collaboration/Teamwork:
- Contribute positively to effective working relationships with internal and external colleagues, fostering a collaborative environment that promotes mutual success.
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Insurance Claims Representative
1 week ago
Taguig, National Capital Region, Philippines beBeeCollections Full timeJob Description:The position of a Collections Specialist is within our revenue cycle department. In this role, you will handle and resolve all insurance follow-up and denial issues to ensure that the company receives correct reimbursements from insurance companies.Research and resolve payment discrepanciesReview and manage the AR aging report and provide...
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Edit Resolution Specialist
7 days ago
Taguig, National Capital Region, Philippines beBeeResolution Full time ₱900,000 - ₱1,200,000Job SummaryWe are seeking a skilled Edit Resolution Specialist to join our team. The successful candidate will be responsible for resolving held claim edits, rejections, and denials in accordance with policies, procedures, and regulatory guidelines.Key ResponsibilitiesReview and resolve held claims through meticulous data analysis and verification of...
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Senior Insurance Claims Examiner
7 days ago
Taguig, National Capital Region, Philippines beBeeInsuranceVerification Full time ₱900,000 - ₱1,200,000Insurance Verification SupervisorCustomer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution.The Insurance Verification Supervisor assists the Insurance Verification Manager...
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Insurance Claims Estimator
5 days ago
Taguig, National Capital Region, Philippines beBeeEstimator Full time ₱15,000 - ₱30,000Role OverviewWe are seeking a highly skilled and organized individual to join our team as an Insurance Claims Estimator. In this role, you will be responsible for preparing and reviewing Xactimate estimates for roof repairs and replacements, verifying line items, quantities, and pricing against scopes of loss, and managing communications with insurance...
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Claims Manager
2 days ago
Taguig, National Capital Region, Philippines Megaworld Corporation Full time ₱600,000 - ₱1,000,000 per yearThe Claims Manager oversees and facilitates the processing of bond and Contractor's All Risks Insurance (CARI) claims. This involves managing the end-to-end claims process, ensuring timely and accurate submission of required documentation, and actively communicating with insurance companies to expedite claim resolution. The role also requires providing...
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Insurance Specialist
2 days ago
Taguig, National Capital Region, Philippines AUMTREND PH INC Full time ₱360,000 - ₱480,000 per yearJob Responsibilities and Tasks:Respond promptly to customer inquiries via phone, email, and live chat.Deliver accurate information about products, services, and company policies.Resolve customer concerns and escalate issues to appropriate departments when necessary.Assist with troubleshooting common issues and follow up to ensure resolution.Identify customer...
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Claims Specialist
5 days ago
Taguig, National Capital Region, Philippines beBeeDisability Full time ₱30,000Disability Claims Coordinator Job DescriptionWe are seeking a highly skilled Disability Claims Coordinator to join our team.Job Responsibilities:Provide exceptional customer service by answering calls, assisting with policy information, verifying eligibility and claims, and ensuring the satisfaction of each client.Answer inbound/make outbound calls and speak...
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Medical Claims Specialist
2 days ago
Taguig, National Capital Region, Philippines beBeeClaims Full time ₱250,000 - ₱450,000Medicare Biller Role OverviewWe are seeking a highly skilled Medical Claims Specialist (Biller) to join our team. This role involves managing the billing cycle, including charge entry, claims creation, and electronic submission to insurance payers.Responsibilities:Perform billing functions, including charge entry, claims creation, and electronic submission...
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Insurance Verification Manager
1 week ago
Taguig, National Capital Region, Philippines beBeeVerification Full timeJob DescriptionThe Insurance Verification Manager plays a pivotal role in overseeing the insurance verification process, ensuring seamless and accurate verification of patient insurance coverage and authorizations. They provide direct supervision to a team of insurance verification specialists, supporting their growth and development while adhering to...
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Claim and Reconciliation Senior Associate
2 days ago
Taguig, National Capital Region, Philippines Dencom Consultancy and Manpower Services Full time ₱300,000 - ₱360,000 per yearGeneral DescriptionThe Claim and Reconciliation Senior Associate will manage the end-to-end process of vendor debit ACOP and special pricing claims. This includes claim submission, collections, rejection handling, and resolution of exceptions. The role requires advanced analytical and problem-solving skills, strong dispute resolution capabilities, and the...