Medical Claim Specialist

2 days ago


Cagayan de Oro, Northern Mindanao, Philippines beBeeClaims Full time ₱250,000 - ₱400,000

We are seeking a detail-oriented and skilled Medical Claims Specialist to support the revenue cycle operations of a U.S.-based healthcare client.

Job Description:

This role is primarily focused on reducing claim denials and recovering aging or stale claims. You will be working directly in the client's billing system, managing claim queues, and communicating with payers to ensure timely and accurate reimbursement.

Key Responsibilities:
  • Review and manage denied or aging claims in the client's billing system
  • Identify root causes of denials and submit appropriate documentation or corrections
  • Make outbound phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues
  • Escalate recurring denial trends or system/process bottlenecks to the client's RCM lead
  • Maintain accurate and detailed notes of all payer interactions and claim activities
Requirements:
  • 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up
  • Familiarity with payer portals and billing systems (e.g., Kareo, Athena, AdvancedMD)
  • High attention to detail and ability to work independently on repetitive or process-heavy tasks
  • Strong written and verbal communication skills in English
Nice to Have:
  • Experience with denial management and recovery of aged claims
  • Previous work with U.S.-based healthcare providers


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