Medical Insurance Claims Expert

REQUIREMENTS:Experience working as a representative of the providers or members line for queries in eligibility and benefits, claims, and authorizations. Preferably with experience in inpatient or outpatient services.Must know the basic insurance terms.Knowledge in Medical Billing/Claims.Experience in Revenue Cycle Management (or a part of) required.The job...

Medical Claims SpecialistWe are seeking a detail-oriented and organized individual to fill the role of Medical Claims Specialist. This position plays a crucial part in ensuring accurate and timely revenue cycle operations while maintaining compliance with industry standards.Key Responsibilities:Prepare and submit clean, accurate claims to insurance companies...

Ideal Biller:Attention to DetailLikes systems and processesExcellent written and oral communication skillsWilling to learn our software, AcusimpleFriendly and patientCapable of multi-tasking (e.g., calling insurance companies for verification while submitting claims and on hold)Responsibilities include:Performing insurance verifications and benefits for new...

Primary Details Time Type: Full time Worker Type: Employee This role is responsible for accomplishing various administrative tasks in support of the claims teams. Likewise, they are responsible for fulfilling specific steps in the entire end to end claims process.Primary Responsibilities• Ensure compliance with QBE policies, procedures and relevant...

Location: Cebu CityWork Setup: OnsiteWork Schedule: 9:00 AM to 6:00 PMJob Requirements:At least 1 year of experience in medical coding following the American Medical Association CPT guidelinesNational Correct Coding Initiative (NCCI) proficiencyICD 10/CPT/HCPS codes PHRNJob Responsibilities:• Review claims for errors and rejections and correct them as...

Qualification:Bachelor's degree in NursingActive PHRN licenseAmenable to work on a night shift scheduleHas internet connection of at least 50MBPS Job description: Review medical records related to insurance claims.Extract and summarize essential medical information into structured abstracts.Identify and highlight relevant diagnoses, procedures, and...

Qualification: Bachelor's degree in Nursing Active PHRN license Amenable to work on a night shift schedule Has internet connection of at least 50MBPS Job description: Review medical records related to insurance claims.Extract and summarize essential medical information into structured abstracts.Identify and highlight relevant diagnoses, procedures, and...

Key ResponsibilitiesAnswer Inquiries:Handle calls, emails, or chats from patients or healthcare providers regarding insurance coverage, claims, billing, or authorizations.Process Claims:Assist in verifying and processing insurance claims or medical benefits.Appointment Scheduling:Book, reschedule, or cancel medical appointments as requested by...

Position Summary: As a Medical Screener, youll help recruit and pre-screen participants for clinical trials. This requires explaining study details and checking medical eligibility by assessing their medical history and conditions. Youll be at the forefront of clinical research, connecting with potential study participants and guiding them through the...

POSITION: Medical CoderWORK SET UP : OnsiteLocation: Cebu City (Lexmark or Skyrise)WORK SCHEDULE: 9am - 6pm Day ShiftSALARY PACKAGE: ₱45,000 - ₱60,000KINDLY INCLUDE YOUR JOB DESCRIPTION, DUTIES & RESPONSIBILITIES, TOOL, CERTIFICATION AND TRAINING IN YOUR CV FOR PAPER SCREENINGRESPONSIBILITIESReview claims for errors and rejections and correct them as...