Clinical Revenue Operations Professional

1 day ago

Marikina City, National Capital Region, Philippines beBeeClaims Full time $40,000 - $60,000
Job Description

We are seeking a highly detail-oriented Medical Claims Specialist to support our revenue cycle operations. This role is primarily focused on reducing claim denials and recovering aging or stale claims.

You will work directly in our billing system, managing claim queues, and communicating with payers to ensure timely and accurate reimbursement.

Key Responsibilities:
  • Review and manage denied or aging claims in our billing system
  • Work claim queues to identify root causes of denials and submit appropriate documentation or corrections
  • Making 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 our RCM lead
  • Maintain accurate and detailed notes of all payer interactions and claim activities
RequirementsQualifications:
  • 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 in English
Nice to Have:
  • Experience with denial management and recovery of aged claims
  • Previous work with U.S.-based healthcare providers

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