Medical Claims Specialist

19 hours ago


Bacoor, Calabarzon, Philippines beBeeMedicalBilling Full time $45,000 - $65,000

This Medical Billing role involves assisting in meeting responsibilities in a timely and accurate fashion.

Responsibilities:
  • Review appeals for medical necessity
  • Fax appeals to the appropriate party
  • Set reminders to follow up after the appeal is sent to ensure it has been received
  • Follow up again closer to the timeframe for determination; update accordingly
  • Confirm provider ability to service a new member
  • Attend weekly meetings, completing assigned tasks
Qualifications:
  • At least 2 years of college education
  • At least 2 years experience in medical billing, including credentialing, authorizations, reimbursement etc.
Requirements:
  • Detail oriented with above-average organizational skills
  • Able to plan and prioritize to meet deadlines
  • Excellent verbal and written communication
  • Thorough understanding of navigating the internet

The ideal candidate will have strong organizational skills and excellent communication abilities.



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