Healthcare Claims Processor

15 hours ago


Quezon City, National Capital Region, Philippines beBeeMedical Full time ₱300,000 - ₱480,000

Job Overview

Medical Billing Specialist

We are seeking a highly skilled and detail-oriented Medical Billing Specialist to join our team. As a key member of our operations team, you will play a crucial role in ensuring the accurate and timely processing of medical claims.

The ideal candidate will have a strong understanding of medical billing regulations, insurance guidelines, and coding systems. They will possess excellent communication skills and be able to work effectively with healthcare providers, insurance companies, and patients.

Responsibilities:
  • Verify patient registration data and notify clients of potential coding problems.

  • Prepare, review, and transmit claims using billing software, including electronic and paper claim processing.

  • Follow up on unpaid claims within the standard billing cycle time frame.

  • Research and appeal denied claims.

  • Meet individual and departmental standards with regard to quality and productivity.

  • Ability to handle protected health information in a manner consistent with HIPAA.

  • Check eligibility and benefit verification.

  • Review patient bills for accuracy and completeness and obtain any missing information.

Requirements:
  • Strong knowledge of medical billing regulations and insurance guidelines.

  • Excellent communication and organizational skills.

  • Able to work effectively in a fast-paced environment.

  • Familiarity with billing software and electronic medical records.

What We Offer:
  • Paid training and professional development opportunities.

  • Flexible working arrangements, including remote work options.

  • A competitive salary and benefits package.

  • The opportunity to work with a diverse team of professionals.



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