Healthcare Claims Specialist

7 hours ago

Manila, National Capital Region, Philippines beBeeMedicine Full time $9,600
Medical Biller Job Description

A Medical Biller plays a crucial role in healthcare facilities, responsible for submitting claims to insurance companies. Key daily responsibilities include processing data from medical coders, ensuring claims are processed and paid, verifying insurance coverage, reviewing denied claims, and assisting patients with billing questions.

Job Responsibilities:
  • Manage inbound and outbound calls regarding inquiries, appointments, and data verification with patients, providers, and healthcare insurance companies.
  • Maintain excellent phone etiquette and communication skills.
  • Assist with denials and follow-ups, correcting denial claims and resubmitting as necessary.
  • Submit electronic and paper claims to primary, secondary, and third-party insurance companies.
  • Record and verify explanation of benefits provided by insurance companies.
  • Provide administrative support including data entry, verifying insurance, follow-ups, authorizations, and collections for outstanding balances and receivables.
Required Skills and Qualifications:
  • Interested in US Healthcare Claims Customer Service.
  • Must have strong verbal and written English communication skills.
  • Candidate must have customer service experience in Insurance Billing.
  • HIPAA Certification is an asset.
  • Excellent time management, attention to detail, and organizational skills are essential.
  • The ideal candidate must be impartial, highly organized, computer savvy, and possess a great work attitude with a willingness to go the extra mile.
  • Open to working night shifts.
Benefits:
  • Paid Time Offs.
  • HMO Coverage.
  • Optical Rewards.
  • Performance-Based Increase.
  • Permanent Work From Home.

Why Choose This Medical Biller Position?

This role offers a dynamic and challenging work environment where you can utilize your skills and experience to make a real difference in patient care. As a Medical Biller, you will have the opportunity to work independently and as part of a team to ensure that claims are processed efficiently and accurately.

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