Healthcare Insurance Claims Specialist

9 hours ago


Cabuyao, Calabarzon, Philippines beBeeMedicalBiller Full time $40,000 - $60,000
Job Title:

A Medical Claims Specialist plays a crucial role in the healthcare industry by ensuring accurate and timely submissions of insurance claims.

  • Professionals in this position work with medical coders to process data, verify insurance coverage, and follow up on denied claims.

The ideal candidate should possess excellent communication skills, strong attention to detail, and the ability to work efficiently in a fast-paced environment.

Responsibilities:
  • Manage inbound and outbound calls with patients, providers, and insurance companies
  • Help resolve denials and follow up on claims
  • Correct denial claims and resubmit
  • Submit electronic and paper claims to primary, secondary, and third-party insurance companies
  • Record and verify explanation of benefits
  • Provide administrative support including data entry, verifying insurance, follow-ups, and authorizations
Requirements:
  • Excellent verbal and written English communication skills
  • Customer service experience in Insurance Billing
  • HIPAA Certification is a plus
  • Strong attention to detail
  • Impartial
  • Highly organized
  • Computer savvy
  • Great work attitude and willingness to go the extra mile


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