Medical Claims Professional

22 hours ago


Cavite City, Calabarzon, Philippines beBeeClaims Full time ₱250,000 - ₱350,000
Job Title: Medical Claims Professional

Overview:

We are seeking a skilled and detail-oriented Medical Claims Professional to join our team. This individual will be responsible for accurately processing medical claims, managing paperwork, and ensuring compliance with all relevant policies and regulations.

Main Responsibilities:

  • Input claim information into the system with high accuracy and maintain organized spreadsheets for efficient tracking of payments and denials.
  • Resubmit denied or incorrect claims and resolve any related issues promptly while maintaining compliance with all relevant policies and regulations.
  • Prepare and deliver monthly claim billing reports and summaries highlighting key trends and areas for improvement.
  • Contact insurance agencies to address inquiries and resolve claim denials in a timely manner.
  • Utilize tools such as ClickUp, Google Suite, and Trizetto Simple Claim to manage workflows effectively and streamline medical billing processes.

Requirements:

  • Experience in medical billing and claims management is essential for this role.
  • Proficient in using ClickUp, Google Suite (Docs, Sheets, etc.), and Trizetto Simple Claim for efficient workflow management.
  • Strong attention to detail and accuracy in data entry are crucial for success in this position.
  • Excellent communication skills are necessary for handling insurance inquiries and resolving issues in a professional manner.
  • Ability to analyze claim denials and determine the best course of action is vital for this role.
  • Self-motivated, organized, and capable of meeting deadlines in a fast-paced environment.


  • Cavite City, Calabarzon, Philippines beBeeDetailoriented Full time ₱900,000 - ₱1,200,000

    Job Title: Medical Claims Processor or Revenue Cycle Operations SpecialistThis role is ideal for a detail-oriented professional with experience in medical billing or claims follow-up. The successful candidate will work directly in the client's billing system, managing claim queues and communicating with payers to ensure timely and accurate reimbursement.Main...


  • Cavite City, Calabarzon, Philippines beBeeClaim Full time ₱800,000 - ₱1,200,000

    Job OverviewWe are seeking a highly skilled Medical Claims Analyst to join our team. This individual will be responsible for maximizing insurance reimbursement for healthcare practice owners.The ideal candidate will have experience in US-based AR follow-up and charge and payment posting, with knowledge of ICD-10, CPT, and HCPC.Key ResponsibilitiesMaximize...


  • Cavite City, Calabarzon, Philippines beBeeBilling Full time ₱54,000 - ₱76,000

    Job SummaryThis role involves preparing and submitting accurate medical claims to insurance companies electronically and on paper. The ideal candidate will have proven experience in medical billing, accounts receivable, or claims management.


  • Cavite City, Calabarzon, Philippines beBeeMedicine Full time ₱30,000 - ₱50,000

    Medical Billing ProfessionalTo excel in this role, you must possess exceptional organizational skills and attention to detail. Your goal is to ensure timely submission of accurate claims to insurance providers.


  • Lipa City, Calabarzon, Philippines beBeeMedicine Full time $40,000 - $60,000

    Job OpportunityOur organization is seeking a skilled Medical Claims Processor to fill an entry-level position. As a key member of our team, you will play a critical role in ensuring the timely and accurate submission and tracking of medical claims while maintaining compliance with all relevant policies and regulations.ResponsibilitiesEnter claim information...


  • Cavite City, Calabarzon, Philippines beBeeCredibility Full time ₱25,000 - ₱40,000

    Medical Biller Job DescriptionThe role of a Medical Biller involves accurate and timely posting of medical charges, payments, and journal entries to patient accounts.Key Responsibilities:Process claims with insurance companies, healthcare providers, and patients.Verify correct insurance filing information and notify clients of potential coding...


  • Cavite City, Calabarzon, Philippines beBeeBilling Full time $45,000 - $55,000

    Medical Billing SpecialistThis is a dynamic role that plays a critical part in our healthcare team.About the JobWe are seeking an experienced medical billing specialist to join our team.Key ResponsibilitiesMonitor the status of medical claims and investigate rejections and denials thoroughly.Document all account activities accurately and in a timely...


  • Antipolo City, Calabarzon, Philippines beBeeClaim Full time ₱600,000 - ₱750,000

    Job SummaryWe are seeking a skilled Medical Claims Specialist to join our team. In this role, you will be responsible for ensuring accurate and timely submission of medical claims to insurance providers.About the RoleThe ideal candidate will have excellent attention to detail, strong analytical skills, and the ability to work efficiently in a fast-paced...


  • Lipa City, Calabarzon, Philippines beBeeCustomer Full time ₱55,000 - ₱155,000

    Utilization Review Specialist Role OverviewThis role is centered on assessing and interpreting customer needs, requirements, and medical records to ensure accurate and efficient review of medical claims.Key Responsibilities:Assess and interpret customer needs, requirements, and medical recordsReview medical claims for medical necessityAs a Utilization Review...


  • Antipolo City, Calabarzon, Philippines beBeeClaims Full time ₱9,000 - ₱12,000

    Job OpportunityWe are seeking a dedicated and detail-oriented Medical Claims Specialist to join our organization.The ideal candidate will have strong organizational skills, exceptional accuracy in data entry, and experience in managing medical claims and insurance processes.Key ResponsibilitiesAccurately input claim information into the system and maintain...