Claims Resolution Expert
1 day ago
This role is ideal for detail-oriented individuals who can support revenue operations in a U.S.-based healthcare setting.
Key Responsibilities:- Login to the client's 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.
- Elevate recurring denial trends or system/process bottlenecks to the client's 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.
- 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up.
- Familiarity with payer portals and billing systems.
- High attention to detail and ability to work independently on repetitive or process-heavy tasks.
- Strong written and verbal communication skills in English.
- Supports revenue growth through effective claim management.
- Must be able to work well in a team environment.
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Pasig, National Capital Region, Philippines beBeeClaims Full time ₱900,000 - ₱1,200,000We are seeking a Claims Resolution Specialist to join our team. In this role, you will be responsible for investigating and resolving denied health insurance claims through thorough analysis and problem-solving.Key ResponsibilitiesInvestigate and resolve denied health insurance claimsAnalyze claim data to determine the validity of refund claimsDraft...
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