Medical Biller

2 days ago

Cainta, Calabarzon, Philippines beBeeBillingspecialist Full time ₱400,000 - ₱600,000

Medical Claims Specialist

About the Job

We are seeking a highly skilled Medical Claims Specialist to join our team. As a key member of our revenue cycle, you will be responsible for ensuring timely and accurate payment from insurance companies.

Responsibilities:
  • Insurance Verifications: Verify patient eligibility and benefits for new and current patients.
  • Claim Coding: Code claims using a list of acceptable codes provided by our organization.
  • Claims Scrubbing: Review claims for accuracy and completeness before submission.
  • Electronic Claim Submission: Submit claims electronically to payers within 72 hours of date of service.
  • Denied Claims Management: Correct and resubmit denied claims within 7 days of receipt.
  • Payer Reports: Pull reports/EOBs from payer websites and post payments to our system.
  • Credentialing: Ensure credentialing is up-to-date with each insurer for new or departing providers.
Requirements:
  • Attention to Detail: You must have a high level of attention to detail to ensure accurate claim submissions.
  • Communication Skills: Excellent written and oral communication skills are essential for effective collaboration with our team.
  • Technical Skills: Proficiency in medical billing software and systems, including Acusimpl.
  • Multitasking: Ability to multitask, handling multiple priorities simultaneously.
Benefits:

This role offers a dynamic work environment, opportunities for growth and development, and a competitive compensation package.


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