Healthcare Claims Specialist

12 hours ago


Lipa City, Calabarzon, Philippines beBeeMedicalBiller Full time $40,000 - $65,000
Job Summary

A medical biller plays a vital role in the healthcare industry, ensuring patients receive timely and accurate reimbursement for medical services.

Key responsibilities include processing data from medical coders, verifying insurance coverage, reviewing denied claims, and assisting patients with billing questions.

Primary Tasks:
  1. Managing inbound and outbound calls to patients, providers, and healthcare insurance companies regarding inquiries, appointments, and data verification.
  2. Assisting with denials and follow-ups by correcting denial claims and resubmitting them to the relevant parties.
  3. Recording and verifying explanation of benefits to ensure accurate claims processing.
  4. Providing administrative support, including data entry, verifying insurance, follow-ups, and authorizations, as well as conducting collections for outstanding balances and receivables.
Required Skills and Qualifications
  • Interest in US healthcare claims customer service.
  • Excellent verbal and written communication skills.
  • Customer service experience in insurance billing.
  • HIPAA certification is highly valued but not required.
  • Strong attention to detail, impartiality, high organization, and computer literacy are essential.
  • Ability to work night shifts is welcome.
Benefits and Considerations

This position offers opportunities for professional growth and development in a dynamic and fast-paced environment. The ideal candidate will possess excellent communication and organizational skills, with a strong commitment to delivering exceptional results.

The successful candidate will have excellent interpersonal and technical skills, with the ability to work effectively in a team environment. They will also be able to maintain confidentiality and handle sensitive information with discretion.

As a valued member of our team, you can expect competitive compensation and benefits, as well as opportunities for career advancement and professional growth.

System Requirements
  • Computer Processor: Intel Core i5-5000 (5th Gen or higher) or AMD Ryzen 5 or higher.
  • Computer Memory/RAM: 8.00 GB.
  • Computer Operating System: At least Windows 10/11 64-bit or macOS Ventura.
  • Headset: Any USB-type headset with noise-cancelling feature.
  • Camera: Capable of clear and crisp video output.
  • Back-up requirements: Same as primary system requirements except for the headset which is optional.
  • Power Supply (UPS): Must be capable of powering the workstation for at least 3 hours, typically requiring a device with 240Wh or higher.
  • Must be able to accept all necessary plugs for maintaining the primary device and work environment.
  • DSL/Fiber Connection: Minimum of 8mb/s.


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