Medical Claims Specialist

1 day ago


General Santos, Soccsksargen, Philippines beBeeClaims Full time ₱800,000 - ₱1,400,000

Job Summary

We are seeking a highly organized and detail-oriented Medical Claims Specialist to manage the timely and accurate submission of medical claims. The ideal candidate will have excellent analytical skills, proficiency in data entry, and experience in insurance processes.

Key Responsibilities:
  • Accurately input claim information into our system, ensuring efficient workflow.

  • Track payments and denials, resolving any related issues promptly.

  • Prepare and deliver monthly claim billing reports and summaries.

  • Utilize tools such as ClickUp, Google Suite, and Trizetto Simple Claim to streamline workflows.

Requirements:

  • Experience in medical billing and claims management.

  • Proficient in using ClickUp, Google Suite (Docs, Sheets, etc.), and Trizetto Simple Claim.

  • Strong analytical skills and attention to detail for accurate data entry.

  • Excellent communication skills for handling inquiries and resolving issues.

  • Ability to analyze claim denials and determine the best course of action.

  • Self-motivated, organized, and capable of meeting deadlines in a fast-paced environment.

Benefits:
  • Opportunity to develop and enhance your medical billing expertise.

  • Work in a structured environment with access to the latest tools and technology.



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