Insurance Reimbursement Specialist

7 hours ago

Manila, National Capital Region, Philippines beBeeClaim Full time ₱300,000 - ₱450,000
Medical Insurance Claim Analyst Opportunity

We are seeking a Medical Insurance Claim Analyst to maximize insurance reimbursement for healthcare practice owners. This is an exciting opportunity to join a dynamic team and make a real difference in the world of healthcare.

ClinicMind's Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services are looking for a skilled professional to work with them in maximizing insurance reimbursement. The ideal candidate will have experience in US-based AR follow-up and charge and payment posting, as well as knowledge of ICD-10, CPT, and HCPC coding systems.

The Medical Insurance Claim Analyst will be responsible for:

  • Maximizing insurance reimbursement for healthcare practice owners through effective communication and negotiation with insurance carriers.
  • Discovering root causes for medical insurance claim denial, underpayment, or delay and proposing resolutions.
  • Interacting with US-based insurance carriers to follow up on unpaid claims, delayed processing, and underpayment.
  • Planning and executing medical insurance claim denial appeal processes.

Requirements include:

  • Minimum 6 months' experience in US-based AR follow-up and charge and payment posting.
  • Familiarity with US medical insurance industry and insurance claims processing cycle.
  • Knowledge of ICD-10, CPT, and HCPC coding systems.
  • Understanding of CMS-1500 and UB-04 claim formats.
  • Experience in Vericle Software is a must.

Benefits of this role include:

  • Opportunity to work from home.
  • Flexible schedule with Eastern Time Zone/US Shift requirements.
  • Good internet access at home.

Seniority level: Entry level Employment type: Full-time Job function: Health Care Provider Industries: Healthcare Services

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