Healthcare Insurance Claims Specialist

1 day ago


Ayala Alabang, National Capital Region, Philippines beBeeInsurance Full time ₱240,000 - ₱420,000
Job Summary

We are seeking a detail-oriented professional to join our team as an Insurance Claims Specialist.

Key Responsibilities:
  • Verify patient insurance coverage and benefits, both online and via phone calls.
  • Code claims using acceptable codes provided by the healthcare facility.
  • Review claims for potential denials and ensure compliance with insurer requirements.
  • Submit claims electronically within 72 hours of service date and follow up on denied claims.
  • Pull reports and post payments from insurers' websites, reconcile accounts with our bookkeeper, and contact insurers for outstanding payments.
  • Maintain up-to-date credentialing information with each insurer for new and existing providers.
Requirements:
  • A high level of attention to detail and organizational skills.
  • Ability to work with various software systems and learn new ones quickly.
  • Excellent written and verbal communication skills for effective collaboration with stakeholders.
  • Familiarity with medical billing processes and regulations.
  • Capacity to multitask and manage competing priorities in a fast-paced environment.


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