Dedicated Insurance Claims Specialist

6 days ago

Taguig, National Capital Region, Philippines beBeeCollections Full time ₱7,800 - ₱8,000
Collections Representative

This role involves handling and resolving insurance follow-up and denial issues to ensure correct reimbursements from insurance companies. You will serve as a liaison between insurance companies, patients, and departments to ensure claims are processed and followed up to meet company goals of account receivable days, aging account percentages, and cash goals.

Key responsibilities include researching payment discrepancies, reviewing AR aging reports, working aged accounts on assigned payers, identifying issues or trends with accounts, escalating exhausted appeals efforts, and performing assigned revenue cycle duties.

  • Research and resolve payment discrepancies.
  • Review and manage the AR aging report and provide explanations of past due balances to management.
  • Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial.
  • Identify issues or trends with accounts and provide suggestions for resolutions.
  • Escalate exhausted appeals efforts for resolution with payer.
  • Perform assigned Revenue Cycle duties as directed by the Revenue Cycle Supervisor.

The ideal candidate will have excellent communication and customer service skills, strong computer proficiency, and the ability to work under pressure and meet deadlines.

For this position, we are looking for a highly motivated individual with a high school diploma or GED, associate degree preferred, 1-3 years of experience, excellent verbal and written communication skills, and excellent computer proficiency.

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