Medical Claims Specialist
11 hours ago
We specialize in recruiting skilled professionals to manage billing processes and secure payments for various healthcare facilities. Our team leverages extensive global networks to connect clients with highly qualified medical billers, offering tailored services to meet unique business needs.
The Opportunity:- Billing & Collections Specialist responsible for managing all third-party billing and collections functions for assigned accounts in the revenue cycle.
This role involves securing payments within defined guidelines for Medicare, Medicaid, Managed Care, Co-insurance companies, and Long Term Care Insurance Companies. The ideal candidate will have strong communication and organizational skills, with proficiency in Microsoft Office and ability to learn company IT systems.
Key Responsibilities:- Accumulate information from various departments and post charges to resident accounts.
- Review charges for accuracy, completeness, consistency, and payer- charged status.
- Prepare and issue accurate billing statements using electronic systems provided.
- Monitor submissions daily to address denials or requests for additional information (ADRs).
- Follow up on unpaid claims/denials within standard billing cycle timeframes; determine reasons for denial and correct claims as needed.
- Document communications and collection attempts, taking follow-up action according to established policies and procedures.
- Provide supporting documentation to payers upon request in a timely manner.
- Maintain A/R Aging levels for assigned accounts within company guidelines.
- Notify supervisors of difficult/problem accounts.
- Two to three years of experience processing skilled nursing medical claims with third parties, including Medicare, Managed Care, and Insurance Companies, with a track record of successful collections.
- One or more years of experience working in high-volume, short-term rehab environments.
- Knowledge of billing software preferred, or experience with similar software.
- Strong communication, interpersonal, and organizational skills.
- Detail orientation.
- Ability to manage multiple priorities.
- Discretionary judgment.
- Ability to work independently and as part of a team.
- Ability to read, write, and speak English proficiently.
-
Medical Claims Specialist
18 hours ago
Antipolo City, Calabarzon, Philippines beBeeMedicalClaims Full time ₱6,000,000 - ₱9,000,000Job Title: Medical Claims SpecialistThe Medical Claims Specialist plays a crucial role in ensuring the accurate and timely processing of medical claims. This position requires strong analytical and problem-solving skills, as well as excellent communication and interpersonal skills.Key Responsibilities:Verify patient eligibility and benefits to ensure...
-
Medical Claims Specialist
18 hours ago
Antipolo City, Calabarzon, Philippines beBeeMedicalClaims Full time $60,000 - $80,000We are seeking a skilled Medical Claims Specialist to support our revenue cycle operations. This is an exciting opportunity for someone with experience in medical billing, revenue cycle management, or claims follow-up who thrives in a fast-paced, process-driven environment.Job DescriptionThis role involves working directly in our billing system, managing...
-
Medical Claims Specialist
17 hours ago
Antipolo City, Calabarzon, Philippines beBeeClaim Full time ₱600,000 - ₱750,000Job SummaryWe are seeking a skilled Medical Claims Specialist to join our team. In this role, you will be responsible for ensuring accurate and timely submission of medical claims to insurance providers.About the RoleThe ideal candidate will have excellent attention to detail, strong analytical skills, and the ability to work efficiently in a fast-paced...
-
Medical Claims Specialist
17 hours ago
Antipolo City, Calabarzon, Philippines beBeeClaims Full time ₱9,000 - ₱12,000Job OpportunityWe are seeking a dedicated and detail-oriented Medical Claims Specialist to join our organization.The ideal candidate will have strong organizational skills, exceptional accuracy in data entry, and experience in managing medical claims and insurance processes.Key ResponsibilitiesAccurately input claim information into the system and maintain...
-
Medical Claim Specialist
15 hours ago
Paranaque City, Calabarzon, Philippines beBeeClaims Full time ₱200,000 - ₱350,000Job Title: Medical Claim SpecialistWe are seeking a detail-oriented individual to join our team as a Medical Claim Specialist. In this role, you will be responsible for ensuring accurate and timely submission of medical claims to insurance providers.Responsibilities:Claim Submission: You will submit claims electronically to the payers via our software within...
-
Medical Claims Specialist
1 week ago
Antipolo City, Calabarzon, Philippines beBeeProfessional Full time ₱250,000 - ₱450,000At our organization, we are seeking a skilled professional to manage insurance claims, invoices and payments. The ideal candidate will also read patient charts to determine medical history, including diagnoses and treatments given.Job ResponsibilitiesReviewing and analyzing patient records to ensure accuracy and completeness.Obtaining referrals and...
-
Medical Claims Specialist
17 hours ago
Lipa City, Calabarzon, Philippines beBeeClaims Full time ₱30,000 - ₱60,000Are you a detail-oriented individual with experience in medical billing or claims follow-up? We're seeking a skilled Medical Claims Specialist to support the revenue cycle operations of a U.S.-based healthcare client. This role is primarily focused on reducing claim denials and recovering aging or stale claims.You'll be working directly in the clients...
-
Medical Claims Processor
13 hours ago
Cavite City, Calabarzon, Philippines beBeeDetailoriented Full time ₱900,000 - ₱1,200,000Job Title: Medical Claims Processor or Revenue Cycle Operations SpecialistThis role is ideal for a detail-oriented professional with experience in medical billing or claims follow-up. The successful candidate will work directly in the client's billing system, managing claim queues and communicating with payers to ensure timely and accurate reimbursement.Main...
-
Medical Claims Processor
17 hours ago
Lipa City, Calabarzon, Philippines beBeeSpecialist Full time $45,000 - $60,000About the RoleWe are seeking a highly skilled Medical Claims Specialist to support our revenue cycle operations. This role is primarily focused on reducing claim denials and recovering aging or stale claims.You will be working directly in our billing system, managing claim queues, and communicating with payers to ensure timely and accurate reimbursement.This...
-
Medical Claims Specialist
12 hours ago
Cavite City, Calabarzon, Philippines beBeeBilling Full time ₱54,000 - ₱76,000Job SummaryThis role involves preparing and submitting accurate medical claims to insurance companies electronically and on paper. The ideal candidate will have proven experience in medical billing, accounts receivable, or claims management.
