Medical Claims Specialist

1 day ago

Pasig, National Capital Region, Philippines beBeeMedical Full time ₱2,500,000 - ₱3,500,000
Job Title:

A Medical Claims Specialist is required to process medical claims accurately and efficiently.

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We are seeking a detail-oriented and organized individual with strong organizational skills, exceptional accuracy in data entry, and experience in managing medical claims and insurance processes. The ideal candidate will play a crucial role in ensuring the timely and accurate submission and tracking of medical claims while maintaining compliance with all relevant policies and regulations.

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The successful candidate will have the ability to analyze claim denials and determine the best course of action, as well as communicate effectively with insurance agencies and resolve issues promptly.

">Key Responsibilities:">
  • ">
  • Accurately input claim information into the system and maintain organized spreadsheets.">
  • Track payments and denials, ensuring claims are processed efficiently.">
  • Resubmit denied or incorrect claims and resolve any related issues promptly.">
  • Prepare and deliver monthly claim billing reports and summaries.">
  • Contact insurance agencies to address inquiries and resolve claim denials.">
">Requirements:">
  • ">
  • Experience in medical billing and claims management.">
  • Proficient in using ClickUp, Google Suite (Docs, Sheets, etc.), and Trizetto Simple Claim.">
  • Strong attention to detail and accuracy in data entry.">
  • Excellent communication skills for handling insurance inquiries and resolving issues.">
  • Ability to analyze claim denials and determine the best course of action.">
  • Self-motivated, organized, and capable of meeting deadlines in a fast-paced environment.">
">Work Schedule:">

Monday to Friday, 9:00 AM – 6:00 PM

">Benefits:">
  • ">
  • Be part of a supportive and professional team in the healthcare industry.">
  • Opportunity to develop and enhance your medical billing expertise.">
  • Work in a structured environment with access to the latest tools and technology.">
">Additional Details:">
  • ">
  • Seniority level: Entry level">
  • Employment type: Full-time">
  • Job function: Health Care Provider">
  • Industries: Technology, Information and Internet">
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