Claims Examiner Specialist

1 week ago


Pagadian, Zamboanga Peninsula, Philippines beBeeInsurance Full time $45,000 - $65,000
Job Title: Claims Examiner Specialist
Key Responsibilities:This role involves verifying patient insurance coverage and benefits to ensure accurate billing and claims processing. Key responsibilities include:
  • Verify patient insurance eligibility, coverage, and benefits for healthcare services.
  • Accurately enter and update insurance information in electronic medical records.
  • Communicate with insurance companies to confirm benefits and resolve discrepancies.
  • Collaborate with healthcare providers, billing staff, and front-office personnel to ensure claims accuracy.
  • Assist in resolving prior authorization and referral requirements.
  • Maintain compliance with healthcare regulations and payer-specific guidelines.
Requirements:To excel in this role, you will need:
  • At least 3 years of relevant experience in insurance verification.
  • Background in Neurology and Allergy specialties preferred.
  • Proficiency in NextGen software required.
  • Strong understanding of healthcare insurance plans, coverage, and policies.
  • Excellent attention to detail, organizational skills, and communication abilities.
  • Ability to work independently in a remote environment.
Benefits:We offer a permanent work-from-home setup, weekly paychecks, fixed weekends off, HMO reimbursement on the 90th day, and a highly competitive salary.About Us:Our company is a global remote workforce solutions provider partnering with top firms worldwide. We aim to advance your career and improve your skills with an industry leader.

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