Chief Medical Claim Specialist

1 week ago


Tanauan, Calabarzon, Philippines beBeeMedical Full time ₱20,000 - ₱33,000
Medical Claims Professional

Accurate and efficient medical claims processing is crucial for a healthcare organization’s financial health. This role requires an experienced professional to manage the entire claims lifecycle, from initial submission to final payment.

Responsibilities:
  • Process and post medical charges, payments, and journal entries accurately
  • Verify insurance eligibility and benefits, as well as patient registration data
  • Prepare and transmit claims using specialized billing software
  • Proactively follow up on unpaid claims and research denied claims to ensure maximum reimbursement
  • Expertly appeal denied claims, navigating complex insurance guidelines
  • Maintain strict compliance with HIPAA regulations and industry standards
Requirements:
  • Extensive experience in medical billing, specifically with hands-on experience using Epic or Athena billing software/EMR
  • Solid understanding of US Healthcare insurance guidelines and medical billing best practices
  • Demonstrated ability to perform eligibility and benefit verification
  • Proficiency in obtaining claim statuses and navigating payer portals
  • Experience with charge entry from superbills and posting ERA/EOB

The ideal candidate will possess excellent attention to detail, organizational skills, and effective communication skills.



  • Tanauan, Calabarzon, Philippines beBeeMedical Full time $70,000 - $85,000

    Job OverviewWe are seeking a detail-oriented and proactive professional to support our billing and revenue cycle management team in our growing physical therapy practice.The ideal candidate will have proven experience in medical billing, accounts receivable, or claims management and be familiar with electronic medical records systems and Microsoft Office...


  • Tanauan, Calabarzon, Philippines beBeeClaims Full time $40,000 - $70,000

    Medical Insurance Claims SpecialistClinicMind, the nation's leader in multi-specialty Electronic Healthcare Records (EHR) software and Revenue Cycle Management (RCM) services, is looking for a Medical Insurance Claims Specialist. If you're excited to be part of a winning team, ClinicMind is a perfect place to get ahead.This role requires a detail-oriented...


  • Tanauan, Calabarzon, Philippines beBeeMedicine Full time $40,000 - $55,000

    Medical Billing Specialist Role OverviewWe are seeking a detail-oriented and organized Medical Billing Specialist to join our team. The ideal candidate will have strong organizational skills, exceptional accuracy in data entry, and experience in managing medical claims and insurance processes. You will play a crucial role in ensuring the timely and accurate...


  • Tanauan, Calabarzon, Philippines beBeeClaims Full time ₱4,035,491 - ₱6,432,018

    Medical Claims SpecialistA Medical Claims Specialist works in healthcare facilities, responsible for submitting claims to insurance companies. They process data from medical coders, ensure claims get processed and paid, verify insurance coverage, review denied claims, and assist patients with billing questions.Key responsibilities include managing inbound...


  • Tanauan, Calabarzon, Philippines beBeeRevenue Full time ₱320,000 - ₱450,000

    Medical AR Specialist Role OverviewAs a key member of the medical billing division, you will be responsible for managing accounts receivables, coordinating with insurance companies and healthcare providers, and ensuring timely reimbursement of medical expenses.This role requires a skilled and experienced individual to manage accounts receivable, coordinate...


  • Tanauan, Calabarzon, Philippines beBeePharmacist Full time ₱600,000 - ₱800,000

    Virtual Medication SpecialistWe are seeking an experienced Virtual Medication Specialist to join our team. This role is ideal for a highly skilled and detail-oriented individual who can effectively utilize technology to ensure the accuracy of medications packed into dose-ready sachets.Job Description:Verify the accuracy of medications using AI-driven tools...


  • Tanauan, Calabarzon, Philippines beBeeMedicalCoding Full time ₱600,000 - ₱1,000,000

    Job Title: Medical Coding SpecialistDescription:We are seeking a detail-oriented and highly organized Medical Coding Specialist to join our team. In this role, you will be responsible for conducting research and identifying Medicare, Medicaid, and other medical coding and billing documents to identify claim denial or covered criteria (clinical content) for...

  • Join Our Team

    7 days ago


    Tanauan, Calabarzon, Philippines beBeeBilling Full time $800 - $9,600

    Medical Billing SpecialistWe are seeking a skilled Medical Billing Specialist to join our team. As a key member of our organization, you will be responsible for ensuring that medical claims are processed and paid in a timely manner.Key Responsibilities:Process and manage incoming medical claimsVerify insurance coverage and process claims accordinglyWork with...


  • Tanauan, Calabarzon, Philippines beBeeMedical Full time ₱350,000 - ₱500,000

    Job OpportunityWe are seeking a skilled professional to handle our medical billing operations. Ideal candidates will have strong attention to detail and excellent written and oral communication skills.Key ResponsibilitiesVerify insurance information for new and existing patients, conducting online research and phone calls as necessary.Coding claims according...


  • Tanauan, Calabarzon, Philippines beBeeMedicalClaims Full time $48,000 - $72,000

    Job Title:Medical Claim Examiner Job DescriptionThe Medical Claims Examiner plays a critical role in ensuring the accuracy and timeliness of medical claims processing. This position is accountable for investigating claim rejections, denials, and discrepancies to ensure prompt payment from various payers including Medicare, Medicaid, and commercial...