Medical Claims Recovery Specialist

3 days ago

Cainta, Calabarzon, Philippines beBeeReimbursement Full time $50,000 - $65,000
Job Opportunity: Revenue Cycle Expert

We seek a meticulous and detail-oriented individual to support our revenue cycle operations as a Medical Billing Specialist.

This role is primarily focused on reducing claim denials and recovering aging or stale claims. You will be working directly in the client's billing system, managing claim queues, and communicating with payers to ensure timely and accurate reimbursement.

  • Log into the client's 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 client's lead
  • Maintain accurate and detailed notes of all payer interactions and claim activities

Key qualifications include 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, strong written and verbal communication skills, and comfort speaking with payers over the phone.

Required Skills:

Medical Billing Knowledge: In-depth understanding of medical billing processes, regulations, and industry standards.

Revenue Cycle Management: Experience in managing revenue cycle operations, including claim processing, denial management, and reimbursement.

Communication Skills: Strong written and verbal communication skills, with ability to effectively communicate with payers, clients, and team members.

Technical Skills: Proficiency in payer portals, billing systems, and other relevant software applications.

What We Offer:

Opportunity to work in a dynamic and growing industry, with a focus on delivering exceptional results and exceeding client expectations.

Chance to develop and grow your career in revenue cycle management, with opportunities for advancement and professional development.

Collaborative and supportive work environment, with a team of experienced professionals who are dedicated to excellence.

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