Medical Claims Specialist

2 days ago


Taguig, National Capital Region, Philippines beBeeClaims Full time ₱250,000 - ₱450,000

Medicare Biller Role Overview

We are seeking a highly skilled Medical Claims Specialist (Biller) to join our team. This role involves managing the billing cycle, including charge entry, claims creation, and electronic submission to insurance payers.

Responsibilities:
  • Perform billing functions, including charge entry, claims creation, and electronic submission to payers.
  • Utilize collections experience to identify and follow up on denied or delayed claims.
  • Review and analyze patient accounts to resolve outstanding balances and billing issues.
  • Work with patients and payers to ensure maximum recovery of payments.
  • Coordinate with insurance companies and internal teams to resolve claim issues.
  • Track and manage aging reports to escalate complex accounts as needed.
  • Assist in identifying trends in denials or rejections and recommend process improvements.
Requirements:
  • 2–3+ years experience in US Healthcare RCM, with strong AR/collections background.
  • Working knowledge of insurance billing, denials, EOBs, and patient account workflows.
  • Experience using medical billing software/EHR systems.
  • Strong communication skills – both written and verbal – especially in patient and payer interaction.
  • Ability to work independently and meet productivity/quality metrics.

Benefits

This is an opportunity to grow your career in healthcare billing with a forward-thinking organization that values employee development.



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