Medical Claims Specialist

5 hours ago


Batangas, Calabarzon, Philippines beBeeClaim Full time $45,000 - $75,000
Job Title: Medical Claims Specialist

We are seeking a detail-oriented Medical Claims Specialist to join our team. The ideal candidate will have experience in medical billing and be proficient in submitting claims to insurance companies.

The role involves processing data from medical coders, verifying insurance coverage, reviewing denied claims, and assisting patients with billing inquiries.

Responsibilities include:

  • Managing calls with patients, providers, and insurance companies regarding inquiries and data verification.
  • Helping with denials and follow-ups, correcting denial claims, and resubmitting claims.
  • Submitting electronic and paper claims to primary, secondary, and third-party insurance companies.
  • Recording and verifying explanation of benefits.

To succeed in this position, you will need strong organizational and communication skills, as well as the ability to work accurately and efficiently under pressure.

Required Qualifications:
  • Degree in Health Information Technology or related field.
  • Proficiency in medical coding systems, including ICD-10 and CPT.
  • Excellent verbal and written English communication skills.
  • Customer service experience in Insurance Billing.
  • HIPAA Certification is a plus.
  • Strong attention to detail.
  • Impartial.
  • Highly organized.
  • Computer savvy.

This is an excellent opportunity for those interested in healthcare administration and patient care.



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