Healthcare Claims Professional

5 days ago


Mandaluyong City, National Capital Region, Philippines beBeeClaims Full time $40,000 - $60,000

Job Summary

Medical Claims Specialist

A Medical Claims Specialist plays a pivotal role in the healthcare ecosystem, responsible for submitting claims to insurance providers and ensuring accurate processing of patient information.

On a daily basis, this professional handles various tasks including data entry from medical coders, verifying insurance coverage, reviewing denied claims, and assisting patients with billing queries.

Key Responsibilities:
  • Manage inbound and outbound calls from patients, providers, and insurance companies regarding inquiries, appointments, and data verification
  • Help resolve denied claims and follow up on outstanding issues
  • Correct and resubmit denied claims
  • Submit electronic and paper claims to primary, secondary, and third-party insurance providers
  • Verify and record explanation of benefits
  • Provide administrative support, including data entry, insurance verification, follow-ups, and collections for outstanding balances
Requirements:
  • Interest in US Healthcare Claims Customer Service
  • Excellent verbal and written English communication skills
  • Customer service experience in Insurance Billing
  • HIPAA Certification is beneficial
  • Attention to detail and impartiality
  • Highly organized and computer-savvy
  • Positive work attitude and willingness to go above and beyond
  • Flexibility to work night shifts


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