Healthcare Medical Claims Specialist

14 hours ago


San Fernando, Central Luzon, Philippines beBeeMedicalClaims Full time ₱250,000 - ₱425,000

We are looking for a detail-oriented and organized Medical Claims Specialist to join our team.

Job Description

This role involves accurate data entry, efficient claim tracking, and compliance with all relevant policies and regulations. You will play a crucial part in ensuring timely and accurate submission and tracking of medical claims.

Responsibilities
  • Accurately input claim information into the system and maintain organized spreadsheets.
  • Track payments and denials, ensuring claims are processed efficiently.
  • Resubmit denied or incorrect claims and resolve any related issues promptly.
  • Prepare and deliver monthly claim billing reports and summaries.
  • Contact insurance agencies to address inquiries and resolve claim denials.
Requirements
  • Experience in medical billing and claims management.
  • Proficient in using ClickUp, Google Suite (Docs, Sheets, etc.), and Trizetto Simple Claim.
  • Strong attention to detail and accuracy in data entry.
  • Excellent communication skills for handling insurance inquiries and resolving issues.
  • Ability to analyze claim denials and determine the best course of action.
  • Self-motivated, organized, and capable of meeting deadlines in a fast-paced environment.
Benefits
  • Be part of a supportive and professional team in the healthcare industry.
  • Opportunity to develop and enhance your medical billing expertise.
  • Work in a structured environment with access to the latest tools and technology.
Additional Details
  • Seniority level: Entry level
  • Employment type: Full-time
  • Job function: Health Care Provider
  • Industries: Healthcare


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