Medical Claims Specialist
1 week ago
We are seeking a highly skilled Medical Claims Specialist to join our team at Visaya Knowledge Process Outsourcing.
The successful candidate will be responsible for handling medical claims, denials, and appeals in a fast-paced environment.
Key Responsibilities:
- Verify eligibility and authorization with payers
- Update patient demographics and insurance information
- Research unpaid or denied claims
- Monitor claims for missing information and authorization
- Resolve claim issues with payers
Requirements:
- 2-3 years of experience in medical collections and denials
- Intermediate knowledge of ICD-10, CPT, HCPCS, and NCCI
- Intermediate knowledge of billing claim forms (UB04/1500)
- Intermediate knowledge of payor contracts - commercial and government
Preferred Requirements:
- Experience with EPIC tool
- Intermediate knowledge of one or more patient accounting systems
- Intermediate knowledge of DDE Medicare claim system
We offer a competitive salary of PHP 35,000 per month, depending on experience.
Visaya Knowledge Process Outsourcing is committed to providing a great work-life balance and a supportive work environment. We are looking for candidates who are willing to work onsite in Ortigas, Pasig City.
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