Medical Claims Specialist

17 hours ago


Antipolo City, Calabarzon, Philippines beBeeClaims Full time ₱9,000 - ₱12,000
Job Opportunity

We are seeking a dedicated and detail-oriented Medical Claims Specialist to join our organization.

The ideal candidate will have strong organizational skills, exceptional accuracy in data entry, and experience in managing medical claims and insurance processes.

Key Responsibilities
  • Accurately input claim information into the system and maintain organized spreadsheets.
  • Track payments and denials, ensuring claims are processed efficiently.
  • Resubmit denied or incorrect claims and resolve any related issues promptly.
  • Prepare and deliver monthly claim billing reports and summaries.
  • Contact insurance agencies to address inquiries and resolve claim denials.
  • Utilize tools such as ClickUp, Google Suite, and Trizetto Simple Claim to manage workflows effectively.
Requirements
  • Experience in medical billing and claims management.
  • Proficient in using ClickUp, Google Suite (Docs, Sheets, etc.), and Trizetto Simple Claim.
  • Strong attention to detail and accuracy in data entry.
  • Excellent communication skills for handling insurance inquiries and resolving issues.
  • Ability to analyze claim denials and determine the best course of action.
  • Self-motivated, organized, and capable of meeting deadlines in a fast-paced environment.
Benefits
  • Be part of a supportive and professional team in the healthcare industry.
  • Opportunity to develop and enhance your medical billing expertise.
  • Work in a structured environment with access to the latest tools and technology.
Additional Details
  • Seniority level: Entry-level.
  • Employment type: Full-time.
  • Job function: Health Care Provider.
  • Industries: Technology, Information, and Internet.

Working Schedule

Monday to Friday, 9:00 AM – 6:00 PM.



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