Medical Claims Specialist

16 hours ago


San Fernando, Central Luzon, Philippines beBeeClaims Full time ₱4,000 - ₱5,500
Job Summary

We are seeking a skilled Claims Specialist to join our team. This individual will be responsible for processing and submitting medical claims, verifying insurance coverage, and managing the credentialing process.

Responsibilities
  • Verify patient eligibility and benefits with insurance providers
  • Code claims according to accepted codes furnished by healthcare providers
  • Scrub claims for potential denial issues and resubmit as necessary
  • Submit claims electronically within 72 hours of service date
  • Pull reports from insurer payment websites and post payments to internal systems
  • Maintain accurate records and ensure timely follow-up on denied claims
Requirements
  • Excellent attention to detail and organizational skills
  • Strong understanding of medical billing and coding practices
  • Ability to work effectively in a fast-paced environment
  • Proficiency in software applications related to medical billing
  • Friendly and patient demeanor when communicating with patients and insurance representatives
Benefits
  • Ongoing training and development opportunities
  • Competitive salary and benefits package
  • Collaborative and supportive work environment


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