Medical Reimbursement Optimization Specialist

2 days ago


Pasig, National Capital Region, Philippines beBeeReimbursement Full time ₱380,000 - ₱610,000
Healthcare Claim Specialist

The role of the Medical Biller AR Follow-up Analyst is to optimize insurance reimbursement for healthcare providers.

This position entails analyzing claims data and communicating effectively with insurance carriers to ensure timely resolution of unpaid claims, delayed processing, and underpayment.

  • Analyzing claims data to identify root causes of denial, underpayment, or delay
  • Communicating with US-based insurance carriers to resolve issues
  • Collaborating with practice owners and clinicians to ensure accurate and complete data on insurance claims
Requirements:
  • At least 6 months experience in US-based AR follow-up and charge posting
  • A college degree in a relevant field such as Computer Engineering, Mathematics, or a related field
  • Familiarity with ICD-10, CPT, and HCPC codes
  • Strong analytical, communication, and problem-solving skills
Preferred Skills:
  • Experience with Vericle Software
  • Familiarity with CMS-1500 and UB-04 claim formats

We are seeking an individual who can work efficiently in the Eastern Time Zone/US Shift and have reliable internet access at home. A mobile hotspot and laptop/desktop with at least 8 GB RAM are also required.



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