Medical Claims Specialist

23 hours ago


Batangas, Calabarzon, Philippines beBeeDetail Full time $60,000 - $80,000
Job Summary:

We are seeking a detail-oriented Medical Claims Specialist to support our revenue cycle operations. The successful candidate will be responsible for reducing claim denials and recovering aging or stale claims. This is an ideal opportunity for someone with experience in medical billing or claims follow-up who thrives in a fast-paced, process-driven environment.

Key Responsibilities:
  • Log into our billing system to review and manage denied or aging claims
  • Work claim queues to identify root causes of denials and submit appropriate documentation or corrections
  • Make outbound phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues
  • Escalate recurring denial trends or system/process bottlenecks to the RCM lead
  • Maintain accurate and detailed notes of all payer interactions and claim activities
Qualifications:
  • 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up
  • Familiarity with payer portals and billing systems
  • High attention to detail and ability to work independently on repetitive or process-heavy tasks
  • Strong written and verbal communication skills


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