Healthcare Claims Specialist

1 week ago


Pagadian, Zamboanga Peninsula, Philippines beBeeClaims Full time $40,000 - $60,000
Job Title:

A Healthcare Claims Specialist plays a pivotal role in the revenue cycle operations of healthcare clients.

About The Role:

This position is focused on reducing claim denials and recovering aging or stale claims. Key responsibilities include:

  • Reviewing and managing denied or aging claims in the client's billing system.
  • Identifying root causes of denials and submitting appropriate documentation or corrections.
  • Making outbound phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues.
  • Escalating recurring denial trends or system/process bottlenecks to the RCM lead.
  • Maintaining accurate and detailed notes of all payer interactions and claim activities.
Key Responsibilities:

The ideal candidate will possess strong analytical skills, attention to detail, and effective communication skills. They will be able to work independently with minimal supervision and demonstrate proficiency in utilizing various software applications and systems. In addition to these core competencies, the successful candidate will also exhibit a customer-centric mindset and a commitment to delivering high-quality results under tight deadlines.



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