Clinical Claims Specialist

7 days ago


Dumaguete, Central Visayas, Philippines beBeeClinicalClaims Full time ₱500,000 - ₱1,000,000
Job Title: Clinical Claims Specialist

This is a fantastic opportunity for an experienced professional to thrive in a fast-paced environment and excel at managing medical claims.

Main Responsibilities:
  • Review and manage denied or aging claims by logging into client billing systems.
  • Work claim queues to identify root causes of denials and submit necessary documentation or corrections.
  • Make outbound phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues.
  • Educate clients on recurring denial trends and system/process bottlenecks to optimize revenue operations.
  • Maintain accurate records of all payer interactions and claim activities.
  • Support additional workflows as needed to ensure efficient revenue management.
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 tasks.
  • Strong written and verbal communication skills in English.
  • Comfortable speaking with payers over the phone and navigating insurance systems.


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