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Medical Claims Specialist

2 weeks ago

Taguig, National Capital Region, Philippines Lennor Group Full time

Job Title: Medical Claims Specialist

About the Role

Lennor Group is seeking a skilled Medical Claims Specialist to join our team. In this role, you will be responsible for managing claim processing, billing, collections, and account reconciliation.

Key Responsibilities:

  • Analyze and resolve claim discrepancies to prevent payment delays.
  • Follow up on outstanding claims via phone, email, or online portals.
  • Maintain accurate records of underpayments, overpayments, and credit balances.
  • Conduct research on payer-specific billing guidelines and policies.
  • Ensure compliance with HIPAA and data protection regulations.
Requirements

To succeed in this role, you must have a strong understanding of claims processing for providers (physicians and/or hospitals). Previous experience in US Insurance Follow-Up (outbound) is essential.

We offer a competitive package and a dynamic work environment. If you are a motivated and organized individual, we encourage you to apply.