Revenue Cycle Professional

11 hours ago

Las Piñas, National Capital Region, Philippines beBeeClaims Full time $40,000 - $60,000
Job Title: Medical Claims Specialist

This is an ideal opportunity for someone with experience in medical billing or claims follow-up who thrives in a fast-paced, process-driven environment.

Key Responsibilities:
  • Review and manage denied or aging claims on the client's billing system
  • Work claim queues to identify root causes of denials and submit appropriate documentation or corrections
  • Make 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 the RCM lead
  • Maintain accurate and detailed notes of all payer interactions and claim activities
  • Assist with additional revenue cycle workflows as needed to support clean and efficient revenue operations

Qualifications include 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up, familiarity with payer portals and billing systems, high attention to detail, strong written and verbal communication skills, and comfort speaking with payers over the phone and navigating insurance systems.

The successful candidate will be highly organized, proactive, and have excellent problem-solving skills. They will also possess strong analytical skills, ability to work under pressure, and meet deadlines.

Additionally, the candidate should have knowledge of ICD-10, CPT, and HCPCS coding systems and be able to navigate multiple payer portals. Proficiency in Microsoft Office Suite is also required.

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