Expert Medical Claim Specialist Wanted

4 days ago

Manila, National Capital Region, Philippines beBeeClaims Full time $40,000 - $60,000
Job Title:

Medical Claims Specialist

Job Description:

We are seeking a detail-oriented Medical Claims Specialist to support the revenue cycle operations of a U.S.-based healthcare client. This role is primarily focused on reducing claim denials and recovering aging or stale claims. You'll be working directly in the clients billing system, managing claim queues, and communicating with payers to ensure timely and accurate reimbursement.

This is an ideal opportunity for someone with experience in medical billing or claims follow-up who thrives in a fast-paced, process-driven environment.

Key Responsibilities:
  • Login to the clients billing system to review and manage denied or aging claims
  • Work claim queues to identify root causes of denials and submit appropriate documentation or corrections
  • Make outbound phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues
  • Escalate recurring denial trends or system/process bottlenecks to the clients RCM lead
  • Maintain accurate and detailed notes of all payer interactions and claim activities
  • Assist with additional RCM workflows as needed to support clean and efficient revenue operations
Qualifications:
  • 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up
  • Familiarity with payer portals and billing systems (e.g., Kareo, Athena, AdvancedMD, etc.)
  • High attention to detail and ability to work independently on repetitive or process-heavy tasks
  • Strong written and verbal communication skills in English
  • Comfortable speaking with payers over the phone and navigating insurance systems
Benefits:

This is a full-time remote position with 45 hours/week. The successful candidate will have the opportunity to work with a U.S.-based healthcare client and contribute to the growth and success of their revenue cycle operations.

Others:

We are looking for someone who is proactive, self-motivated, and able to work in a fast-paced environment. If you are interested in this opportunity, please apply by submitting your resume and cover letter.

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