Medical Insurance Claims Specialist

13 hours ago


Lipa City, Calabarzon, Philippines beBeeInsurance Full time $60,000 - $80,000
Job Overview

The role of a Medical Biller AR Followup Analyst is pivotal in maximizing insurance reimbursement for healthcare practice owners.

This involves identifying root causes for medical insurance claim denial, underpayment, or delay and proposing resolutions to ensure seamless claims processing.

Key Responsibilities:
  • Follow up on unpaid claims, delayed processing, and underpayment with US-based insurance carriers
  • Develop and execute a strategic appeal process for denied medical insurance claims
  • Collaborate with US-based practice owners and clinicians to correct missing or incorrect data on their insurance claims
  • Optimize insurance reimbursement for healthcare practice owners through effective claim management
Essential Qualifications:
  • Minimum 6 months experience in US-based AR follow-up and charge and payment posting
  • College degree in Computer Science, Mathematics, or a related field
  • Hands-on experience with data analysis and classification
  • Strong analytical skills with attention to detail
  • Familiarity with the US medical insurance industry and claims processing cycle
  • Knowledge of ICD-10, CPT, and HCPCS coding systems
  • Understanding of CMS-1500 and UB-04 claim formats
  • Experience with Vericle Software is an advantage
Preferred Requirements:
  • Comfortable working in the Eastern Time Zone/US shift
  • Reliable internet access at home
  • Mobile hotspot availability
  • Laptop/Desktop with at least 8 GB RAM

This is an exciting opportunity to advance your career in a dynamic team. If you have the necessary skills and experience, please apply now to take the next step in your professional journey.



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