Medical Claims Specialist

14 hours ago


Makati City, National Capital Region, Philippines beBeeCareer Full time ₱300,000 - ₱450,000
Job Opportunity

We are seeking an experienced professional to fill a Medical Billing Specialist position within our expanding team.

About the Role
  • Verify patient eligibility and benefits for various treatments, hospitalizations, and procedures.
  • Review and verify patient bills for accuracy and completeness, and obtain any necessary information.
  • Follow up on unpaid claims within the standard billing cycle timeframe.
  • Communicate with insurance companies regarding payment discrepancies.
  • Identify and process secondary or tertiary insurance claims.
Responsibilities
  • Collaborate with colleagues to resolve complex issues and ensure seamless workflow.
  • Maintain accurate records of customer interactions and transactions.
Requirements
  • 6 months to 1 year of experience in a BPO environment handling US Healthcare accounts.
  • Excellent working knowledge of medical claims, benefits, eligibilities, and appeals.
  • Familiarity with US Healthcare Insurance (Medicare, Medicaid).
  • Strong verbal and written communication skills in English.
  • Ability to empathize with customers and remain patient under pressure.
  • Effective problem-solving skills and adaptability in a fast-paced environment.
  • Proficiency in using computer systems and relevant software.
  • Able to work flexible hours, including night shifts.
Benefits Package
  • Competitive salary and comprehensive benefits.
  • Health Insurance with free dependents.
  • 10% night differential.
  • Attendance Bonus.
  • Paid time off.
  • Convertible leave credits.
  • Performance Appraisal.
  • Work-life balance.
  • Ongoing career growth opportunities.
Culture and Values
  • Strong culture driven by leadership values.
  • Opportunities for continuous learning and innovation.
  • Inclusive environment fostering employee growth.
Seniority Level
  • Entry-level position.
Employment Type
  • Full-time employment.
Job Function
  • Specialized services.
Industries
  • IT Services and IT Consulting.

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