
Medical Claims Processor
1 day ago
The Medical Claims Processor is a vital role within our healthcare team. This position is accountable for monitoring the status of medical claims, thoroughly investigating rejections and denials, and diligently documenting related account activities.
This position requires a deep understanding of various eligibility requirements and payment methodologies, as well as a keen ability to record contractual adjustments in compliance with government regulations and payer contracts.
Key Responsibilities:- Perform verification of eligibility and benefits to ensure accurate patient coverage.
- Review and submit claims in a timely and compliant manner.
- Obtain prior authorizations to support smooth claim approvals.
- Monitor the status of medical claims and conduct A/R follow-up to ensure prompt and accurate payment.
- Research and resolve claim rejections and denials, implementing measures to prevent future occurrences.
- At least 2 years of strong background in end-to-end revenue cycle processes, including eligibility and benefits verification, charge review, claims submission, AR follow-up and denial management, collections, prior authorizations, payment posting, and handling medical records requests, is required.
- Experience in DME and using Apero is preferred.
- Candidates must demonstrate an ability to work collaboratively with team members and healthcare providers.
- Candidates must be able to function in a fast-paced work environment and handle occasional periods of above-average pressure.
- Work from home arrangement available.
- Flexible schedule to accommodate varying time zones.
-
Medical Claims Processor
1 day ago
Taguig, National Capital Region, Philippines beBeeClaims Full time ₱40,000 - ₱70,000Medical Claims Processor JobA Medical Claims Processor processes and manages medical claims, revenue cycle management, and related tasks.Key Responsibilities:Claim Processing: Process medical claims to ensure accurate and timely payments from insurance payers.Denial Management: Identify and resolve denied claims by reviewing claim information, communicating...
-
Medical Claims Processor
2 days ago
Taguig, National Capital Region, Philippines beBeeSpecialist Full time $60,000 - $80,000Medical Billing Specialist RoleThe Medical Billing Specialist plays a pivotal role in the revenue cycle process. This position requires thorough monitoring of medical claims, investigating rejections and denials, and maintaining accurate documentation of related account activities.This specialist is responsible for posting adjustments and managing...
-
Medical Claims Specialist
2 days ago
Taguig, National Capital Region, Philippines beBeeMedicine Full time $9,600Medical Claims ExpertA skilled medical claims expert works in healthcare settings, ensuring accurate and timely submissions of insurance claims. Key responsibilities include reviewing data from medical coders, verifying insurance coverage, resolving denied claims, and providing billing support to patients.Key Responsibilities:Communication: Manage calls from...
-
Healthcare Claims Processor
1 day ago
Taguig, National Capital Region, Philippines beBeeInsurance Full time $800 - $9,600Job SummaryA medical biller is an essential professional in the healthcare industry, responsible for processing and submitting claims to insurance companies. Their key responsibilities include managing data from medical coders, ensuring accurate claim processing and payment, verifying patient insurance coverage, reviewing denied claims, and providing...
-
Medical Claims Specialist
2 days ago
Taguig, National Capital Region, Philippines beBeeReimbursement Full time $40,000 - $60,000ClinicMind is seeking a Medical Biller AR Followup Analyst to work from home. If you are interested in maximizing insurance reimbursement for healthcare practice owners, this could be the perfect opportunity for you.ResponsibilitiesWe need you to ensure timely and accurate processing of medical insurance claims.You will interact with US-based insurance...
-
Medical Claim Recovery Professional
1 day ago
Taguig, National Capital Region, Philippines beBeeBilling Full time $40,000 - $70,000Medical Billing Specialist Role SummaryWe are seeking a skilled Medical Billing Specialist to join our team. The ideal candidate will have experience in medical billing, revenue cycle management, or claims follow-up.This role is primarily focused on reducing claim denials and recovering aging or stale claims.The Medical Billing Specialist will be responsible...
-
Medical Insurance Claim Analyst
1 day ago
Taguig, National Capital Region, Philippines beBeeClaim Full time ₱625,500 - ₱751,000Medical Biller AR Followup SpecialistClinicMind is looking for a Medical Biller AR Followup Specialist to join their winning team.Job Summary:The ideal candidate will maximize insurance reimbursement for healthcare practice owners by analyzing and resolving claim denials, underpayments, and delays. They will identify root causes of claim issues and propose...
-
Medical Claims Specialist
1 week ago
Taguig, National Capital Region, Philippines beBeeClaims Full time ₱250,000 - ₱450,000Medicare Biller Role OverviewWe 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...
-
US Medical Claims
1 week ago
Taguig, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time $40,000 - $80,000 per yearJob Qualifications:Completed at least 2 years of college.Minimum 12 months experience in Healthcare Account Receivable/Collections in a BPO setting.Familiarity with UB Claims and UB04 forms.Experience in medical billing/AR collections.Background in calling insurance (Payer) for claim status and payment disputes.Familiar with EPIC SYSTEM.Willing to work...
-
Medical Professional
15 hours ago
Taguig, National Capital Region, Philippines beBeeProfessional Full time ₱1,042,704 - ₱1,373,509As a medical professional, you will play a vital role in the healthcare system, responsible for submitting claims to insurance companies and ensuring timely payments.Key responsibilities include processing data from medical coders, verifying insurance coverage, reviewing denied claims, and assisting patients with billing inquiries.Primary TasksManage patient...