Medical Insurance Claims Specialist

6 hours ago


Davao City, Davao, Philippines beBeeInsurance Full time ₱180,000 - ₱250,000
About the Role

We are seeking a Medical Insurance Claims Specialist to optimize insurance reimbursement for healthcare practice owners. The ideal candidate will have excellent analytical and communication skills, as well as experience in US-based AR follow-up and charge and payment posting.

Key Responsibilities
  • Analyze claims data to identify resolution opportunities for denied or underpaid claims.
  • Interact with US-based insurance carriers to resolve unpaid claims, delayed processing, and underpayment issues.
  • Develop and execute medical insurance claim denial appeal processes.
  • Collaborate with practice owners and clinicians to complete and correct missing or incorrect data on insurance claims.
Required Skills and Qualifications
  • Minimum 6 months experience in US-based AR follow-up and charge and payment posting.
  • Familiarity with US medical insurance industry and insurance claims processing cycle.
  • Knowledge of ICD-10, CPT, and HCPC coding systems.
  • Understanding of CMS-1500 and UB-04 claim formats.
  • Experience with Vericle Software.
  • Excellent listening, communication, and problem-solving skills.
  • Self-motivated and able to work autonomously.

This is an entry-level full-time position that requires a high comfort level working on Eastern Time Zone/US Shift. The ideal candidate will have good internet access at home and a laptop/desktop with at least 8 GB of RAM.

We offer a competitive compensation package and opportunities for professional growth and development. If you are a detail-oriented and analytical individual with a passion for healthcare and finance, we encourage you to apply.



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