Medical Claim Specialist

6 days ago


Sorsogon, Bicol, Philippines beBeeInsurance Full time ₱800,000 - ₱1,200,000
Job Title: Medical Biller AR Followup AnalystDescription:

ClinicMind seeks a skilled medical billing professional to maximize insurance reimbursement for healthcare practice owners.

Responsibilities:
  • Maximize insurance reimbursement through effective follow-up and appeal processes
  • Interact with US-based insurance carriers to resolve unpaid claims, delayed processing, and underpayment
  • Collaborate with practice owners and clinicians to complete and correct missing or incorrect data on insurance claims
Requirements:
  • At least 6 months of experience in US-based AR follow-up and charge and payment posting
  • Familiarity with the US medical insurance industry and insurance claims processing cycle
  • Proficiency in ICD-10, CPT, and HCPC coding systems
  • Understanding of CMS-1500 and UB-04 claim formats
  • Experience with Vericle Software is mandatory
  • Excellent listening, communication, and problem-solving skills
  • Ability to work autonomously and be self-motivated
Work Environment:
  • Remote work opportunity with a strong internet connection
  • Flexibility to work on Eastern Time Zone/US Shift

The ideal candidate will possess excellent analytical and problem-solving skills, with the ability to work effectively in a remote environment.



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