Medical Claim Specialist Position

2 days ago


Cebu City, Central Visayas, Philippines beBeeClaims Full time $40,000 - $60,000
Medical Claims Specialist

We are seeking a detail-oriented Medical Claims Specialist to support the revenue cycle operations of our healthcare client. This role is primarily focused on reducing claim denials and recovering aging or stale claims.

Job Description:

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.

  • Review and manage denied or aging claims in the clients billing system
  • 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 RCM lead
  • Maintain accurate and detailed notes of all payer interactions and claim activities
Required Skills and Qualifications:

To succeed in this role, you will need:

  • 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)
  • High attention to detail and ability to work independently on repetitive or process-heavy tasks
  • Strong written and verbal communication skills in English
Benefits:

This role offers the opportunity to work in a remote setting with a dynamic team and contribute to the success of our healthcare client's revenue cycle operations.

Others:

This is a full-time position requiring 45 hours/week with a schedule from 9:00 AM - 5:00 PM PST.



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