AR Insurance Claims Specialist

1 day ago


Cebu City, Central Visayas, Philippines beBeeMedical Full time $60,000 - $80,000
We are seeking a highly skilled Medical Biller AR Follow-up Specialist to join our organization. As a key member of our revenue cycle management team, you will play a crucial role in maximizing insurance reimbursement for healthcare providers.Key Responsibilities:
  • Maximize insurance reimbursement by analyzing and resolving medical insurance claim denials, underpayments, or delays
  • Discover root causes of claim denials, underpayments, or delays and propose effective resolutions
  • Interact with US-based insurance carriers to follow up on unpaid claims, delayed processing, and underpayment
  • Plan and execute medical insurance claim denial appeal process
  • Collaborate with healthcare providers to ensure accurate and complete data on insurance claims
Requirements:
  • Minimum 6 months experience in US-based AR follow-up and charge and payment posting
  • College degree in Computer Engineering, Mathematics, or similar field
  • Hands-on experience with data analysis and data classification
  • Strong analytical skills
  • Familiarity with the 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 is an advantage
  • Excellent communication, problem-solving, and time management skills
  • Self-motivated and able to work autonomously
Must-Haves:
  • High comfort level working on Eastern Time Zone/US Shift
  • Good internet access at home
  • Mobile Hotspot
  • Laptop/Desktop with at least 8 GB RAM


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