Claims Resolution Specialist

5 hours ago

Manila, National Capital Region, Philippines beBeeBilling Full time $50,000 - $100,000

Job Overview

A highly detail-oriented and organized individual is sought after to support the revenue cycle operations of a healthcare client. The successful candidate will be responsible for managing denied or aging claims, identifying root causes of denials, and submitting appropriate documentation or corrections.

Key Responsibilities:

  • Log into the client's billing system to review and manage denied or aging claims.
  • Work claim queues to identify root causes of denials and submit appropriate documentation or corrections.
  • Make outbound phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues.
  • Escalate recurring denial trends or system/process bottlenecks to the client's RCM lead.
  • Maintain accurate and detailed notes of all payer interactions and claim activities.
  • Assist with additional RCM workflows as needed to support clean and efficient revenue operations.

Requirements:

  • 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up.
  • Familiarity with payer portals and billing systems (e.g., Kareo, Athena, AdvancedMD).
  • High attention to detail and ability to work independently on repetitive or process-heavy tasks.
  • Strong written and verbal communication skills.
  • Comfortable speaking with payers over the phone and navigating insurance systems.

Preferred Qualifications:

  • Experience with denial management and recovery of aged claims.
  • Previous work with U.S.-based healthcare providers.
  • Background in a remote RCM role.

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