US Medical Claims Professional

11 hours ago


Bacoor, Calabarzon, Philippines beBeeMedicine Full time ₱20,000 - ₱33,000
Job Description

The role of a Medical Claims Specialist is crucial in the healthcare industry as it involves maximizing reimbursements while maintaining compliance and accuracy.

Responsibilities:
  • Accurately posting medical charges, payments, and journal entries to patient accounts.
  • Collaborating with insurance companies, healthcare providers, and patients to process claims efficiently.
  • Verifying insurance eligibility and benefits, along with patient registration data.
  • Preparing and transmitting claims using specialized billing software.
  • Following up on unpaid claims and researching denied claims.
  • Appealing denied claims and navigating complex insurance guidelines.
  • Maintaining strict adherence to HIPAA regulations and industry standards.
  • Performing eligibility verification and obtaining claim statuses from various payers.
  • Reviewing patient bills and reading superbills for precise charge entries.
Qualifications:
  • Proven experience as a Medical Biller with extensive hands-on experience using EMRs and billing software.
  • Solid understanding of US healthcare insurance guidelines and medical billing best practices.
  • Ability to perform eligibility and benefit verification.
  • Proficiency in obtaining claim statuses and navigating payer portals.
  • Experience with charge entry from superbills and posting ERA/EOB.
  • Strong commitment to maintaining HIPAA compliance.
  • Excellent attention to detail and organizational skills.
  • Effective communication skills, both written and verbal.


  • Bacoor, Calabarzon, Philippines beBeeInsurance Full time ₱500,000 - ₱800,000

    We are seeking a Medical Claims Specialist to join our team. As a key member of our organization, you will be responsible for maximizing insurance reimbursement, identifying root causes for claim denial, and interacting with US-based insurance carriers.About the RoleMaximize insurance reimbursement for healthcare practice owners by ensuring accurate and...


  • Bacoor, Calabarzon, Philippines beBeeHealthcare Full time $40,000 - $55,000

    Job OpportunityClinicMind seeks a detail-oriented Medical Biller AR Followup Analyst to work from home. This role is ideal for those who enjoy working independently, have excellent communication skills, and are passionate about resolving medical insurance claim issues.Main Responsibilities:Maximize insurance reimbursement for healthcare practice owners by...


  • Bacoor, Calabarzon, Philippines beBeeMedicalBilling Full time ₱1,800,000 - ₱3,000,000

    Key Role SummaryThe Medical Billing Specialist is accountable for monitoring the status of medical claims, thoroughly investigating rejections and denials, and diligently documenting related account activities. This position requires a deep understanding of various eligibility requirements and payment methodologies.Job DescriptionMonitor medical claim...


  • Bacoor, Calabarzon, Philippines beBeeBiller Full time $9,600

    Medical Billing is a crucial function in healthcare facilities, involving the submission of claims to insurance companies. Key responsibilities include processing data from medical coders, ensuring timely payment of claims, verifying insurance coverage, reviewing denied claims, and assisting patients with billing inquiries.Key Skills:Customer service...


  • Bacoor, Calabarzon, Philippines beBeeCoding Full time ₱3,600,000 - ₱4,200,000

    Medical Coding SpecialistThe Medical Coding Specialist will be responsible for conducting thorough research and analysis of Medicare, Medicaid, and other medical coding documents to identify claim denial or covered criteria. This role involves providing written and oral presentations to clinical colleagues to obtain consensus on proposed denial criteria.This...


  • Bacoor, Calabarzon, Philippines beBeeSpecialist Full time $35,000 - $45,000

    Job Title:Medical Billing SpecialistJob Description:We are seeking a detail-oriented individual to support our revenue cycle operations. The Medical Billing Specialist will primarily focus on reducing claim denials and recovering aging or stale claims.This role involves working directly in our billing system, managing claim queues, and communicating with...


  • Bacoor, Calabarzon, Philippines beBeeVirtual Full time $50,000 - $70,000

    Medical Virtual AssistantWe are seeking a skilled Medical Virtual Assistant to provide administrative support to healthcare professionals, medical practices, and organizations.As a key member of our team, you will be responsible for managing medical records, coordinating appointments, and overseeing billing and insurance claims. You will have the opportunity...


  • Bacoor, Calabarzon, Philippines beBeeClaim Full time $45,000 - $60,000

    Job Title: Healthcare Claim SpecialistThis role focuses on reducing claim denials and recovering aging or stale claims in a healthcare setting.The ideal candidate will be detail-oriented with experience in medical billing, claim management, or similar roles. They should thrive in a fast-paced, process-driven environment where accuracy is paramount.Main...


  • Bacoor, Calabarzon, Philippines beBeeClaims Full time ₱450,000 - ₱650,000

    Job Summary:We are seeking a skilled Dental Claims Specialist to join our team. In this role, you will be responsible for managing and processing claims, resolving issues, and providing support while maintaining quality and integrity.Process and follow up on outstanding insurance claims, ensuring all follow-ups are properly documented and communicated.Send...


  • Bacoor, Calabarzon, Philippines beBeeMedical Full time ₱350,000 - ₱500,000

    Job Title: Medical Coding SpecialistWe are seeking a skilled Certified Medical Biller and Coder to excel in accurate and timely submission of medical claims, optimizing revenue cycles while maintaining compliance with regulatory standards.Key Responsibilities:Analyze and abstract medical information from patient records for physician/NP visits and home...