Work-from-Home Medical Claims Analyst

17 hours ago


Cabuyao, Calabarzon, Philippines beBeeMedicalClaimsAnalyst Full time $40,000 - $70,000

We are seeking a highly skilled Medical Claims Analyst to work from home. The ideal candidate will have experience in US-based AR follow-up and charge and payment posting.

Key Responsibilities:
  • Maximize insurance reimbursement for healthcare practice owners by identifying root causes of medical insurance claim denial, underpayment, or delay and proposing resolutions.
  • Interact with US-based insurance carriers to follow up on unpaid claims, delayed processing, and underpayment.
  • Plan and execute medical insurance claim denial appeal process.
Requirements:
  • Minimum 6 months experience in US-based AR follow-up and charge and payment posting.
  • Familiarity with the US medical insurance industry and insurance claims processing cycle.
  • Knowledge of ICD-10, CPT, and HCPC coding systems.
  • Understanding of CMS-1500 and UB-04 claim formats.
  • Experience working with Vericle Software.
  • Excellent listening, communication, and problem-solving skills.
  • Able to work autonomously and be self-motivated.
Benefits:
  • Full-time employment.
  • Healthcare industry experience.
  • Opportunity to work from home.


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