Medical Claims Specialist

1 day ago


Caloocan City, National Capital Region, Philippines beBeeClaim Full time $55,000 - $70,000
Job Overview

The Medical Claims Specialist is responsible for ensuring seamless billing processes, reducing claim denials and optimizing revenue recovery.

This role involves direct engagement with clients' billing systems, managing claim queues, and communicating with payers to ensure timely and accurate reimbursement.

  • Log into clients' billing systems to review and manage denied or aging claims
  • Work claim queues to identify root causes of denials and submit appropriate documentation or corrections
  • Make outbound 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
Essential Skills and Qualifications
  • 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up
  • Familiarity with payer portals and billing systems (e.g., Kareo, Athena, AdvancedMD)
  • High attention to detail and ability to work independently on repetitive tasks
  • Strong written and verbal communication skills in English
Ideal Candidate Profile

A skilled Medical Claims Specialist with 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up. The ideal candidate will have strong written and verbal communication skills in English, familiarity with payer portals and billing systems, and the ability to work independently on repetitive tasks.



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