Medical Insurance Claim Specialist

2 days ago


Mandaluyong City, National Capital Region, Philippines beBeeInsurance Full time $40,000 - $60,000
Job Opportunity

ClinicMind, the nation's leader in electronic healthcare records software and revenue cycle management services, is seeking a medical biller with exceptional follow-up skills. If you're eager to advance your career, this role is perfect for you.

Key Responsibilities
  1. Maximize insurance reimbursement for healthcare providers by identifying and resolving root causes of claim denials, underpayments, or delays.
  2. Interact with US-based insurance carriers to follow up on unpaid claims, delayed processing, and underpayment.
  3. Develop and execute medical insurance claim denial appeal processes.
  4. Collaborate with practice owners and clinicians to correct missing or incorrect data on insurance claims.
Required Skills and Qualifications
  • Minimum 6 months experience in US-based AR follow-up and charge and payment posting.
  • College degree in computer engineering, mathematics, or a related field.
  • Hands-on experience with data analysis and classification.
  • Excellent analytical skills.
  • Familiarity with the US medical insurance industry and insurance claims processing cycle.
  • Knowledge of ICD-10, CPT, and HCPCS.
  • Understanding of CMS-1500 and UB-04 claim formats.
  • Experience with Vericle Software is an advantage.
  • Strong communication, problem-solving, and self-motivation skills.
  • Experience working with chiropractic, physical therapy, and mental/behavioral health specialties.
Benefits
  • High comfort level working on Eastern Time Zone/US Shift.
  • Good internet access at home.
  • Mobile Hotspot.
  • Laptop/Desktop with at least 8 GB RAM.
Additional Information
  • Must have good analytical skills and be able to work autonomously.
  • Self-starter with excellent time management and organizational skills.


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