Medical Claims Specialist

16 hours ago


Lipa City, Calabarzon, Philippines beBeeClaims Full time ₱30,000 - ₱60,000

Are you a detail-oriented individual with experience in medical billing or claims follow-up? We're seeking a skilled Medical Claims Specialist to support the revenue cycle operations of a U.S.-based healthcare client. This role is primarily focused on reducing claim denials and recovering aging or stale claims.

You'll be working directly in the clients billing system, managing claim queues, and communicating with payers to ensure timely and accurate reimbursement.

This is an ideal opportunity for someone who thrives in a fast-paced, process-driven environment.

Job Description
  • Log into the clients 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
  • Escalate recurring denial trends or system/process bottlenecks to the clients RCM lead
  • Maintain accurate and detailed notes of all payer interactions and claim activities
Requirements
  • 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
What We Offer

A career opportunity in a fast-paced and dynamic industry, with opportunities for growth and professional development. Join our team today



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