
Business Claims Reviewer
2 days ago
As a claims professional, you will be responsible for reviewing and evaluating customer submissions to ensure their accuracy, eligibility, and compliance with industry standards. This involves investigating claims, determining validity, and customer settlement amounts while maintaining detailed records.
Key Responsibilities- Review and evaluate customer claims submitted through various channels.
- Investigate claims to determine validity and eligibility based on established policies and procedures.
- Determine appropriate settlement amounts for valid claims.
- Maintain accurate and detailed records of all claim activities.
- Communicate effectively with customers regarding the status of their claims.
- Collaborate with team leads to resolve complex claims and escalate issues as needed.
- Identify and report potential irregularities or abuse.
- Stay updated on relevant industry regulations and policy changes.
- Contribute to process improvement initiatives within the claims department.
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Clinical Review Specialist
2 days ago
Las Piñas, National Capital Region, Philippines beBeeClinical Full time ₱55,000 - ₱155,000Job Title: Clinical Review SpecialistWe are seeking a highly skilled and detail-oriented Clinical Review Specialist to join our team.The ideal candidate will have experience in medical claims review, be able to assess and interpret customer needs, and possess excellent communication skills.Required Skills and Qualifications:Active PHRN and USRN Mainland...
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Auto Glass Warranty Claims Manager
1 day ago
Las Piñas, National Capital Region, Philippines beBeeAdjudicator Full time ₱1,800,000 - ₱2,500,000Job DescriptionWindshield replacement and repair is a significant service that requires attention to detail, strong communication skills, and the ability to manage multiple claims simultaneously.Position OverviewThis role involves managing vehicle warranty claims related to auto glass services. The primary responsibility is to handle incoming claims,...
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Medical Claims Specialist
1 day ago
Las Piñas, National Capital Region, Philippines beBeeCollections Full time $69,000 - $83,000Job OverviewWe are seeking a highly skilled Billing and Collections Specialist to join our team. As a key member of our revenue cycle team, you will play a crucial role in managing third-party billing and collections functions for assigned accounts.This is a remote position that offers flexibility and convenience. If you have experience processing skilled...
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Claims Support Specialist
2 days ago
Las Piñas, National Capital Region, Philippines beBeeClaims Full time ₱540,000 - ₱810,000Job Title: Claims Support Specialist This role involves answering phone inquiries pertaining to workers compensation claims from multi-state medical providers. The successful candidate will have a solid understanding of company computer systems, including StrataWare and CompIQ. Key Responsibilities:Provide prompt, courteous and accurate customer service...
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Chief Medical Claims Specialist
1 day ago
Las Piñas, National Capital Region, Philippines beBeeMedicalCoding Full time ₱450,000 - ₱850,000We are seeking a highly skilled Medical Biller and Coder to join our team. As a key member, you will play a vital role in ensuring the accurate and timely submission of medical claims.Position OverviewThis is an opportunity to make a significant impact on our organization's financial operations and the quality of service we provide to our clients.Job...
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Expert Healthcare Coding Professional
1 day ago
Las Piñas, National Capital Region, Philippines beBeeClinical Full time ₱60,000 - ₱80,000Job OverviewOur company seeks a highly skilled Clinical Coder to conduct thorough research and identify Medicare, Medicaid, and other medical coding and billing documents to ensure accurate claim denials or covered criteria for automated claims editing solutions.The successful candidate will collaborate with Medical Directors and clinical colleagues to...
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Creative Review Specialist
2 days ago
Las Piñas, National Capital Region, Philippines beBeeQuality Full time ₱11,520 - ₱15,360The Role OverviewDesigners and reviewers are invited to work with our team as we provide creative services to businesses across the globe. This opportunity offers a chance to leverage your expertise in quality assurance and make an immediate impact on customer satisfaction.Key Responsibilities:Monitor, review, and propose measures to correct or improve...
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US Healthcare Medical Biller
1 day ago
Las Piñas, National Capital Region, Philippines beBeeMedicalBiller Full time ₱300,000 - ₱480,000Job SummaryThe role of a medical biller in the US healthcare industry involves processing medical charges, payments, and journal entries accurately and on time. This position requires strong attention to detail, organizational skills, and the ability to work independently.Main ResponsibilitiesVerify insurance filing information and patient registration data...
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Healthcare Revenue Cycle Professional
1 day ago
Las Piñas, National Capital Region, Philippines beBeeEligibility Full time ₱900,000 - ₱1,200,000Medical Billing SpecialistThe Medical Billing Specialist plays a crucial role in the healthcare industry. This position involves monitoring medical claims, investigating rejections and denials, and documenting account activities.Key Responsibilities:Verify patient eligibility and benefits for accurate coverage.Review and submit claims in a timely manner,...
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Administrative Coordinator
15 hours ago
Las Piñas, National Capital Region, Philippines beBeeHealthcare Full time ₱35,000 - ₱55,000Medical Biller Job DescriptionA medical biller plays a crucial role in the healthcare industry by ensuring accurate and timely submission of claims to insurance companies.They are responsible for reviewing data from medical coders, verifying insurance coverage, and assisting patients with billing inquiries.Key Responsibilities:Manage inbound and outbound...