Medical Content Expert

1 day ago


Tarlac City, Central Luzon, Philippines beBeeClinical Full time ₱802,550 - ₱1,064,250
Healthcare Content Specialist Role

This role involves the creation and management of clinical content for automated claims editing solutions used by medical insurance payers across the United States.

The successful candidate will be responsible for conducting research to identify Medicare, Medicaid, and other medical coding and billing documents to determine claim denial or covered criteria (clinical content).

The selected individual will also provide written and oral presentations to obtain consensus on proposed denial criteria and offer clinical content support to customers as needed.

A Bachelor's Degree in Nursing is required, along with an Active RN license. Additionally, a Certified Coding Specialist - Physician (CCS-P) or AAPC Certified Professional Coder (CPC) certification and at least 5 years of experience in CPT Coding, HCPCS, Medical Billing, Claims Denials, and/or Chart Review/Auditing are necessary qualifications.

The ideal candidate should have previous experience working with US health insurance payers in a claims, appeals, or coding capacity, as well as excellent communication skills and proficiency in MS Office applications.

Required Skills and Qualifications
  • Bachelor's Degree in Nursing and Active RN License
  • Certified Coding Specialist - Physician (CCS-P) or AAPC Certified Professional Coder (CPC)
  • At Least 5 Years of Experience in CPT Coding, HCPCS, Medical Billing, Claims Denials, and/or Chart Review/Auditing
  • Previous Experience Working with US Health Insurance Payers in Claims, Appeals, or Coding Capacity
  • Excellent Communication Skills and Proficiency in MS Office Applications
About This Opportunity

MicroSourcing offers a comprehensive benefits package that includes competitive compensation, opportunities for growth and development, and a supportive work environment.

We celebrate authentic selves and strive to foster growth and opportunity for every team member.

This role is available for remote work and requires Night Shift availability.

If you possess the skills and qualifications outlined above and are passionate about delivering high-quality clinical content, we encourage you to apply.

Contact Information

To learn more about this opportunity, please visit our website.



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