Healthcare Claims Specialist

2 hours ago


Province of Palawan, Mimaropa, Philippines beBeeBiller Full time ₱900,000 - ₱1,200,000

Medical billers are healthcare professionals responsible for processing and submitting medical claims to insurance companies. This involves verifying insurance coverage, managing inquiries, handling denials, and submitting electronic and paper claims.

Key Responsibilities:
  • Verify insurance coverage and process data from medical coders
  • Manage inbound and outbound calls regarding patient inquiries and data verification
  • Handle denial claims and resubmit as needed
  • Submit claims to primary, secondary, and third-party insurance companies
  • Record and verify explanation of benefits
Required Skills and Qualifications:
  • Excellent written and verbal communication skills
  • Customer service experience in Insurance Billing
  • HIPAA Certification is a plus
  • Strong attention to detail
  • Impartial
  • Highly organized
  • Proficient in computer software and hardware
Requirements:
  • Intel Core i5-5000 (5th Gen or higher) or AMD Ryzen 5 or higher
  • 8 GB RAM
  • Windows 10/11 64-bit or macOS Ventura
  • USB headset with noise-cancelling feature
  • Capable of clear and crisp video output

Effective organizational and communication skills, with the ability to work accurately and efficiently in a fast-paced environment, are essential for this role.



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