Medical Claims Processor
1 day ago
Medical Billing Specialist
Job Description:We are seeking a skilled Medical Billing Specialist to join our team. As a key member of our revenue cycle department, you will be responsible for all aspects of medical billing and collections.
- Coordinate with various departments to gather information and post charges to resident accounts.
- Review charges for accuracy and completeness, ensuring compliance with company guidelines.
- Prepare and issue accurate billing statements to payers using electronic systems provided.
- Monitor submissions daily to address denials or requests for additional information.
Collections Responsibilities:
- Follow up on unpaid claims and denials within established timeframes; determine reasons for denial and correct claims as needed.
- Document all communications and collection attempts, taking follow-up action in accordance with established policies and procedures.
- Provide supporting documentation to payers upon request in a timely manner.
- Maintain A/R aging levels for assigned accounts within company guidelines.
Cash Application:
- Apply third-party payments daily, including checks, wire transfers, EFT payments, other bank deposits, cash, and credit card payments.
Customer Service:
- Establish good relationships with third-party payers through professional communication.
- Efficiently conduct inquiries and analysis for resolution of discrepancies.
General Responsibilities:
- Adhere to company policies and procedures with the highest practical standards.
- Participate in and maintain current status on all training and education required by the company.
- Communicate effectively with all members of the staff and business partners.
Job Requirements/Specifications:
Required:
- Two to three years of experience processing skilled nursing medical claims with third parties, including Medicare, Managed Care, and Insurance Companies.
- One or more years of experience working in a high-volume, short-term rehab environment.
- Knowledge of billing and related software is preferred, or experience with similar software.
- Proficiency with Microsoft Office and ability to learn company IT systems.
Preferred:
- Experience with MatrixCare/Answers on Demand is a plus.
Essential Qualifications:
- Strong communication, interpersonal, and organizational skills.
- Detail orientation.
- Ability to manage multiple priorities.
- Discretionary judgment.
- Ability to work independently and as part of a team.
Language Skills:
- Ability to read, write, and speak English proficiently.
This role offers a competitive salary and benefits package, including health insurance, retirement plan, and paid time off.
Why Us?We offer a dynamic and supportive work environment, with opportunities for growth and development.
-
Healthcare Claims Processor
24 hours ago
San Fernando, Central Luzon, Philippines beBeeMedicine Full time ₱450,000 - ₱850,000Medical Billing SpecialistThe Medical Billing Specialist is a pivotal role within our healthcare organization. The primary responsibility involves monitoring medical claims and investigating rejections and denials.This position requires in-depth knowledge of eligibility requirements and payment methodologies, as well as the ability to work collaboratively...
-
Medical Claims Specialist
1 day ago
San Fernando, Central Luzon, Philippines beBeeClaims Full time ₱25,000 - ₱40,000Job Title: Medical Claims SpecialistJob Description:A medical claims specialist is responsible for accurately and efficiently processing medical claims, ensuring timely payments to healthcare providers.Verify patient information and ensure correct insurance filing details.Review and process claims using billing software, including electronic and paper claim...
-
Medical Claims Specialist
1 day ago
San Fernando, Central Luzon, Philippines beBeeClaims Full time ₱4,000 - ₱5,500Job SummaryWe are seeking a skilled Claims Specialist to join our team. This individual will be responsible for processing and submitting medical claims, verifying insurance coverage, and managing the credentialing process.ResponsibilitiesVerify patient eligibility and benefits with insurance providersCode claims according to accepted codes furnished by...
-
Healthcare Medical Claims Specialist
1 day ago
San Fernando, Central Luzon, Philippines beBeeMedicalClaims Full time ₱250,000 - ₱425,000We are looking for a detail-oriented and organized Medical Claims Specialist to join our team.Job DescriptionThis role involves accurate data entry, efficient claim tracking, and compliance with all relevant policies and regulations. You will play a crucial part in ensuring timely and accurate submission and tracking of medical...
-
Medical Claims Professional
24 hours ago
San Fernando, Central Luzon, Philippines beBeeHealthcare Full time $54,000 - $72,000Healthcare Revenue Cycle ExpertThis role is an excellent opportunity for someone with experience in medical billing or claims follow-up who thrives in a fast-paced, process-driven environment.The successful candidate will support the revenue cycle operations of a U.S.-based healthcare client by reducing claim denials and recovering aging or stale claims.Log...
-
Epic Medical Claims Specialist
23 hours ago
San Fernando, Central Luzon, Philippines beBeeMedicalClaimsSpecialist Full time ₱20,000 - ₱33,000About the Role:The Medical Claims Specialist will play a critical part in ensuring seamless financial processes for our healthcare clients.This key position involves working directly with insurance companies, healthcare providers, and patients to efficiently process and manage claims.Responsibilities include:Accurately posting medical charges, payments, and...
-
Senior Medical Claims Specialist
23 hours ago
San Fernando, Central Luzon, Philippines beBeeMedicalBilling Full time ₱5,000,000 - ₱6,250,000Position Overview:We are seeking a highly skilled Certified Medical Biller and Coder to play a critical role in our organization's financial operations. As a key member of our team, you will be responsible for ensuring accurate and timely submission of medical claims. Your expertise in medical coding and billing processes will help optimize revenue cycles...
-
US Healthcare Medical Claim Specialist
24 hours ago
San Fernando, Central Luzon, Philippines beBeeBiller Full time $20,000 - $38,000Medical Biller OpportunityWe are seeking a dedicated and detail-oriented Medical Biller to join our team. As a key member of our revenue cycle management team, you will be responsible for accurately posting medical charges, payments, and journal entries to patient accounts.Key responsibilities include working directly with insurance companies, healthcare...
-
Medical Billing Specialist
1 day ago
San Fernando, Central Luzon, Philippines beBeeAnalytical Full time ₱300,000 - ₱500,000Are you a skilled professional looking for a challenging role in medical billing and insurance claims processing?About the RoleWe are seeking an experienced Medical Biller AR Follow-up Analyst to join our team. As a key member of our revenue cycle management team, you will be responsible for maximizing insurance reimbursement for healthcare practice owners,...
-
Healthcare Claims Specialist
6 hours ago
San Fernando, Central Luzon, Philippines beBeeClaims Full time ₱253,882 - ₱384,873Medical Biller RoleA vital member of the healthcare team, medical billers play a crucial part in ensuring timely and accurate claims submissions to insurance companies.Key responsibilities include processing data from medical coders, verifying patient insurance coverage, reviewing denied claims, and providing administrative support for billing...
