Healthcare Claims Processor

2 days ago


Calamba, Calabarzon, Philippines beBeeMedicalBillingSpecialist Full time ₱600,000 - ₱800,000
Job Overview

The Medical Billing Specialist plays a pivotal role within our healthcare organization. This position is accountable for monitoring the status of medical claims, thoroughly investigating rejections and denials, and meticulously documenting related account activities.

Key Responsibilities:
  • Patient coverage verification ensuring accurate documentation
  • Timely and compliant claim submissions maintaining regulatory compliance
  • Securing prior authorizations to facilitate smooth claim approvals
  • Effective A/R follow-up to guarantee prompt and accurate payment
  • Resolving claim rejections and denials through meticulous research
  • Generating and submitting patient statements in a timely manner
  • Documenting all account activities with precision and accuracy
  • Managing manual payments, adjustments, and collection efforts
  • Understanding and applying Medicare, Medicaid, and commercial insurance eligibility requirements and payment methodologies
Qualifications and Skills:
  • At least 2 years of experience in end-to-end revenue cycle processes with a strong background
  • Preferably experience in DME and proficiency in using Apero software
  • Collaborative teamwork and exceptional customer service skills


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