Medical Claims Processor

17 hours ago


Cavite City, Calabarzon, Philippines beBeeDetailoriented Full time ₱900,000 - ₱1,200,000

Job Title: Medical Claims Processor or Revenue Cycle Operations Specialist

This role is ideal for a detail-oriented professional with experience in medical billing or claims follow-up. The successful candidate will work directly in the client's billing system, managing claim queues and communicating with payers to ensure timely and accurate reimbursement.

Main Responsibilities:
  • 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 RCM lead
  • Maintain accurate and detailed notes of all payer interactions and claim activities
Requirements:
  • 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up
  • Familiarity with payer portals and billing systems (e.g., Kareo, Athena, AdvancedMD)
  • 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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