Healthcare Claims Processor

2 weeks ago


Imus, Calabarzon, Philippines beBeeMedical Full time $800 - $9,600
Job Overview

A medical claims processor plays a vital role in healthcare facilities, responsible for submitting claims to insurance companies. Their daily tasks include processing data from medical coders, ensuring timely payment of claims, verifying insurance coverage, reviewing denied claims, and assisting patients with billing inquiries.

Key Responsibilities:
  • Manage inbound and outbound calls with patients, providers, and healthcare insurance companies regarding inquiries, appointments, and data verification
  • Maintain excellent phone etiquette
  • Assist with denials and follow-ups
  • Correct denial claims and resubmit claims
  • Submit electronic and paper claims to primary, secondary, and third-party insurance companies
  • Record and verify explanation of benefits
  • Provide administrative support, including data entry, verifying insurance, follow-ups, authorizations, and collections for outstanding balances and receivables
Required Qualifications:
  • Possess interest in US Healthcare Claims Customer Service
  • Exhibit excellent verbal and written English communication skills
  • Demonstrate customer service experience in Insurance Billing
  • HIPAA Certification is advantageous
  • Demonstrate strong time management skills
  • Show attention to detail
  • Be impartial
  • Display high organization skills
  • Show proficiency in computer systems
  • Exhibit a positive work attitude and willingness to go the extra mile
  • Be open to working night shifts
Benefits:
  • Starting rate of $800 (USD) monthly
  • Employment Type: Independent Contractor
  • Free Training
  • Paid Time Offs
  • HMO Coverage
  • Optical Rewards
  • Performance-Based Increase
  • Permanent Work From Home
Seniority Level:
  • Entry level
Employment Type:
  • Full-time
Job Function:
  • Customer Service
Industries:
  • Non-profit Organizations and Primary and Secondary Education


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