
Medical Insurance Claim Resolution Specialist
24 hours ago
ClinicMind is seeking a skilled Medical Biller AR Follow-up Analyst to maximize insurance reimbursement for healthcare practice owners. This role involves identifying the root causes of medical insurance claim denials, underpayments, or delays and proposing resolutions.
Key Responsibilities:- Optimize insurance reimbursement for healthcare practice owners
- Discover root causes for medical insurance claim denial, underpayment, or delay and propose effective solutions
- Interact with US-based insurance carriers to follow up on unpaid claims, delayed processing, and underpayment issues
- Develop and execute a plan to appeal denied medical insurance claims
- Collaborate with US-based practice owners and clinicians to ensure accurate and complete data on their insurance claims
- Minimum of 6 months experience in US-based AR follow-up and charge and payment posting
- Familiarity with the US medical insurance industry and insurance claims processing cycle
- Knowledge of ICD-10, CPT, and HCPC coding systems
- Understanding of CMS-1500 and UB-04 claim formats
- Experience working with Vericle Software is a must
- Excellent listening, communication, and problem-solving skills
- Ability to work independently and be self-motivated
- High comfort level working on Eastern Time Zone/US Shift
- Reliable access to high-speed internet at home
- Mobile Hotspot availability
- Minimum laptop/Desktop with 8 GB RAM
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Insurance Claim Resolution Specialist
24 hours ago
Marikina City, National Capital Region, Philippines beBeeAnalyzer Full time $35,000 - $45,000Medical Biller AR Followup AnalystClinicMind is seeking a Medical Biller AR Followup Analyst to work from home. As the nation's leader in multi-specialty Electronic Healthcare Records software and Revenue Cycle Management services, we're looking for individuals who are excited to be part of a winning team.As a Medical Biller AR Followup Analyst, you will...
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Claim Resolution Specialist
1 week ago
Quezon City, National Capital Region, Philippines Stark Asia Solutions, Inc Full time ₱436,000 per yearThe Claim Resolution Specialist plays a versatile role in the claims workflow, tasked with submitting appeals to overturn denials and trigger payments or determining whether further action, such as additional appeals or account closure, is required. Specialists in this role may prioritize tasks based on claim complexity and workload, ensuring optimal...
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Insurance Claims Specialist
1 week ago
Makati City, National Capital Region, Philippines beBeeClaimsResolution Full time ₱900,000 - ₱1,200,000Claims Resolution SpecialistWe are seeking a skilled Claims Resolution Specialist to join our team. In this role, you will be responsible for processing claims, providing recommendations and final decisions based on set authority limits approved by management.About the RoleThis position involves coordinating with team members and other stakeholders to ensure...
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Medical Insurance Claim Analyst
18 hours ago
Caloocan City, National Capital Region, Philippines beBeeInsurance Full time $45,000 - $57,000Job OpportunityWe are seeking a Medical Insurance Claim Analyst to optimize insurance reimbursement for healthcare providers. This role involves investigating root causes for medical insurance claim denial, underpayment, or delay and proposing resolutions.Key ResponsibilitiesOptimize insurance reimbursement for healthcare providersInvestigate root causes for...
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Claims Resolution Specialist
1 week ago
Makati City, National Capital Region, Philippines beBeeClaimsResolution Full time ₱900,000 - ₱1,200,000Job DescriptionWe are seeking a Claims Resolution Specialist to join our team. This role involves reviewing, researching and resolving claims for health plans, commercial customers and government entities.As a Claims Resolution Specialist, you will be responsible for analyzing and identifying trends and providing reports as necessary. You will also ensure...
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Claim Resolution Professional
6 days ago
Makati City, National Capital Region, Philippines beBeeReimbursement Full time $56,640 - $75,152Medical Billing Specialist OpportunityWe are seeking a detail-oriented Medical Billing Specialist to support the revenue cycle operations of our healthcare client.This role is primarily focused on reducing claim denials and recovering aging or stale claims.You will be working directly in our clients billing system, managing claim queues, and communicating...
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Medical Claims Specialist
23 hours ago
Makati City, National Capital Region, Philippines beBeeClaims Full time ₱800,000 - ₱1,200,000Job DescriptionWe are seeking a detail-oriented and organized individual to join our team as a Medical Claims Specialist. This role is responsible for processing medical claims, verifying insurance benefits, and managing the submission process.
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Medical Claim Specialist
21 hours ago
Quezon City, National Capital Region, Philippines beBeeClaim Full time $40,000 - $60,000Job Title:Medical Claim AnalystAbout the Position:A highly skilled Medical Claim Analyst is sought after to maximize insurance reimbursement for healthcare practice owners by identifying opportunities for improvement in claims processing and follow-up.Key Responsibilities:Maximize insurance reimbursement by analyzing medical insurance claim denials,...
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Medical Claims Specialist
7 days ago
Makati City, National Capital Region, Philippines beBeeClaims Full time ₱40,000 - ₱60,000Medical Claims SpecialistWe are seeking an experienced Medical Claims Specialist to collaborate with our team. This role involves verifying patient eligibility, reviewing patient bills, and communicating with insurance companies.Responsibilities:Verify patient eligibility and benefits for treatments, hospitalizations, and procedures.Review patient bills for...
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Medical Claims Specialist
17 hours ago
Mandaluyong City, National Capital Region, Philippines beBeeHealthcare Full time ₱250,000 - ₱400,000Medical Claims Specialist Job DescriptionMedical claims specialists are responsible for accurately and efficiently processing medical claims to ensure timely payment from insurance providers.Key Responsibilities:Verify accurate insurance filing information on behalf of clients and patients.Prepare, review, and transmit claims using billing software.Follow up...