Medical Claims Specialist

17 hours ago


Province of Palawan, Mimaropa, Philippines beBeeMedicalBiller Full time ₱250,000 - ₱400,000
Job Role Overview

The Medical Biller position involves accurate and timely processing of medical charges, payments, and journal entries for patient accounts.

  • Interact with insurance companies, healthcare providers, and patients to ensure claims are processed efficiently.
  • Verify correct insurance filing information on behalf of clients and patients.
  • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.
  • Follow up on unpaid claims within standard timeframes.
  • Research and appeal denied claims.

Additional responsibilities include:

  • Meeting quality and productivity standards.
  • Handling protected health information according to HIPAA guidelines.
  • Checking eligibility and benefit verification.
  • Reviewing patient bills for accuracy and completeness.

Key aspects of the role involve:

  • Eligibility verification and precertification through web or verbal communication with insurance companies.
  • Contacting insurance companies to obtain claim status and document it in the system.
  • Processing ERA (Electronic Remittance Advice) and EOB (Explanation of Benefits) from various systems.


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