Claims Management Professional

3 days ago


Davao City, Davao, Philippines beBeeClaim Full time
Medical Claims Analyst Position

We are seeking a highly skilled Medical Claims Analyst to support the revenue cycle operations of our healthcare client. This role is focused on reducing claim denials and recovering aging or stale claims.

The ideal candidate will have experience in medical billing, revenue cycle management, or claims follow-up, with a strong attention to detail and ability to work independently on repetitive or process-heavy tasks.

  • Log into our clients' 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 our 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 level of written and verbal communication skills in English.
  • Comfortable speaking with payers over the phone and navigating insurance systems.
Nice to Have:
  • Experience with denial management and recovery of aged claims.
  • Previous work with U.S.-based healthcare providers.
  • Background in a remote RCM role.


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