Remote Medical Claims Examiner

7 days ago

Dasmariñas, Calabarzon, Philippines beBeeClaim Full time $40,000 - $75,000
Job Title:

Medical Billing Specialist

We are seeking a highly skilled Medical Billing Specialist to join our team in a fast-paced, process-driven environment. This role involves reviewing and managing denied or aging claims, identifying root causes of denials, and submitting appropriate documentation or corrections.

The ideal candidate will have experience in medical billing, revenue cycle management, or claims follow-up, as well as strong written and verbal communication skills. They will be comfortable speaking with payers over the phone and navigating insurance systems.

This is an excellent opportunity for someone who thrives in a detail-oriented environment and can work independently on repetitive or process-heavy tasks.

Key Responsibilities:
  • Log into the client's billing system 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 phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues
  • Escalate recurring denial trends or system/process bottlenecks to the client's RCM lead
  • Maintain accurate and detailed notes of all payer interactions and claim activities
  • Assist with additional RCM workflows as needed to support clean and efficient revenue operations
Requirements:
  • 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up
  • Familiarity with payer portals and billing systems
  • High attention to detail and ability to work independently on repetitive or process-heavy tasks
  • Strong written and verbal communication skills
  • Comfortable speaking with payers over the phone and navigating insurance systems
Nice to Have:
  • Experience with denial management and recovery of aged claims
  • Previous work with U.S.-based healthcare providers
  • Background in a remote RCM role

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