Senior Claims Analyst

6 days ago


Rizal, Philippines beBeeClaim Full time ₱350,000 - ₱550,000
Job Overview

A medical biller plays a crucial role in the healthcare industry by ensuring accurate and timely claims submissions to insurance companies.

Their responsibilities include processing data from medical coders, reviewing claims for accuracy, verifying insurance coverage, and assisting patients with billing inquiries.

Key Responsibilities
  • Manage inbound and outbound calls regarding patient inquiries, appointments, and data verification with providers and healthcare insurance companies.
  • Help with claim denials and follow-ups, correcting denied claims, and resubmitting claims electronically or via paper.
  • Submit claims to primary, secondary, and third-party insurance companies while maintaining accurate records of payments and denial reasons.
  • Record and verify explanation of benefits (EOB) statements from insurance providers.
  • Provide administrative support including data entry, verifying insurance coverage, following up on unpaid claims, authorizations, and conducting collections on outstanding balances and receivables.
Requirements
  • Excellent verbal and written communication skills.
  • Proven customer service experience in Insurance Billing.
  • HIPAA Certification is highly desirable.
  • Strong attention to detail and impartiality.
  • Highly organized and computer-literate individual with excellent work attitude and willingness to go the extra mile.


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