Medical Claims Processor

2 days ago


Manila, National Capital Region, Philippines beBeeCollections Full time ₱1,200,000 - ₱2,000,000

We are seeking a Billing Specialist to join our team. This role is responsible for managing the billing process, ensuring timely and accurate submissions of medical claims to third-party payers.

Key Responsibilities
  • Coordinate with various departments to ensure accurate and complete billing information
  • Review charges for accuracy, completeness, and consistency
  • Prepare and issue accurate billing statements using electronic systems
  • Monitor daily submissions to address denials or requests for additional information

Collections Responsibilities

  • Follow up on unpaid claims within company standard timeframes
  • Determine reasons for denial, correct claims, and re-bill when necessary
  • Document all communications and collection attempts

Cash Application

  • Apply Third Party payments daily, confirming completeness and accuracy of payment information

Customer Service

  • Establish good relationships with third-party payers through professional communications

General Responsibilities

  • Adhere to business policies and procedures with highest practical standards
  • Participate in training and education required by the company
  • Communicate effectively with staff and business partners

Job Requirements/Specifications

  • Two to three years of experience processing skilled nursing medical claims with third parties
  • One or more years of experience working in a high-volume, short-term rehab environment
  • Knowledge of billing software preferred

Essential Qualifications

  • Strong communication, interpersonal, and organizational skills
  • Detail orientation
  • Ability to manage multiple priorities


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