Claim Processor

1 day ago


Baguio City, Cordillera, Philippines beBeeMedicine Full time ₱400,000 - ₱600,000
Medical Billing Specialist

In this pivotal role, you will be responsible for ensuring the efficient and accurate processing of medical claims.

  • You will accurately input claim information into our system and maintain organized spreadsheets to ensure seamless operations.
  • Track payments and denials, guaranteeing that claims are processed in a timely and effective manner.
  • Resubmit denied or incorrect claims and promptly resolve any related issues.
  • Prepare and deliver monthly claim billing reports and summaries to stakeholders.
  • Communicate with insurance agencies to address inquiries and resolve claim denials.
  • Leverage tools such as ClickUp, Google Suite, and Trizetto Simple Claim to streamline workflows and enhance productivity.
Requirements
  • Experience in medical billing and claims management is essential.
  • Proficiency in using ClickUp, Google Suite (Docs, Sheets, etc.), and Trizetto Simple Claim is required.
  • A strong attention to detail and accuracy in data entry is crucial.
  • Excellent communication skills are necessary for handling insurance inquiries and resolving issues.
  • The ability to analyze claim denials and determine the best course of action is vital.
  • Self-motivation, organization, and the ability to meet deadlines in a fast-paced environment are key qualities.


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