Medical Reimbursement Specialist

15 hours ago


Cavite City, Calabarzon, Philippines beBeeAnalyst Full time ₱270,000 - ₱420,000

As a Medical Biller AR Follow-up Analyst, you will play a crucial role in maximizing insurance reimbursement for healthcare practice owners. Your responsibilities will include discovering root causes for medical insurance claim denial, underpayment, or delay and proposing resolutions.

Responsibilities
  • Maximize insurance reimbursement by identifying and resolving issues with medical insurance claims.
  • Interact with US-based insurance carriers to follow up on unpaid claims, delayed processing, and underpayment.
  • Develop and execute strategies for appealing denied medical insurance claims.
  • Collaborate with US-based practice owners and clinicians to ensure accurate and complete data on insurance claims.
Requirements
  • At least 6 months experience in US-based AR follow-up and charge and payment posting.
  • Bachelor's degree in Computer Science, Mathematics, or a related field.
  • Proven skills in data analysis and classification.
  • Familiarity with the US medical insurance industry and insurance claims processing cycle.
  • Knowledge of ICD-10, CPT, and HCPCS coding systems.
  • Understanding of CMS-1500 and UB-04 claim formats.
  • Excellent communication, problem-solving, and self-motivation skills.


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