Medical Claims Processor

1 week ago

Barcelona, Philippines beBeeBilling Full time ₱35,000 - ₱50,000
Job Title:

Medical Billing Specialist or Revenue Cycle Management (RCM) Specialist



  • 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.


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


Nice to Have:
  • Experience with denial management and recovery of aged claims.
  • Previous work with U.S.-based healthcare providers.


Job Description

As a Medical Billing Specialist or Revenue Cycle Management (RCM) Specialist, your primary responsibilities will include reviewing and managing denied or aging claims. You will be responsible for working claim queues to identify root causes of denials and submitting appropriate documentation or corrections. Additionally, you will make outbound phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues. You will also be responsible for escalating recurring denial trends or system/process bottlenecks to the clients RCM lead and maintaining accurate and detailed notes of all payer interactions and claim activities.



Required Skills and Qualifications

To be successful in this role, you must have 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, etc.) is also essential. Furthermore, you should possess high attention to detail and be able to work independently on repetitive or process-heavy tasks. Strong written and verbal communication skills in English are necessary for this position.



Benefits

This role offers the opportunity to gain valuable experience in medical billing and revenue cycle management. You will have the chance to work with a variety of clients and develop strong relationships with insurance payers. Additionally, you will receive ongoing training and support to help you excel in your role.



Other Information

It is preferred that candidates have experience with denial management and recovery of aged claims. Previous work with U.S.-based healthcare providers is also desirable.

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