Remote Medical Claims Analyst

1 week ago


Barcelona, Philippines beBeeClaims Full time ₱281,600 - ₱409,600
Job Opportunity

We are seeking a Medical Claims Analyst to work from home. This role is ideal for someone who wants to maximize their potential in the healthcare industry.

Responsibilities
  • Resolve claim denials, underpayments, and delays to ensure maximum insurance reimbursement for healthcare providers.
  • Identify root causes of claim issues and propose effective resolutions.
  • Interact with US-based insurance carriers to follow up on unpaid claims, delayed processing, and underpayment.
  • Develop and execute strategies for medical insurance claim denial appeals.
  • Collaborate with practice owners and clinicians to complete and correct missing or incorrect data on insurance claims.
Requirements
  • At least 6 months of experience in US-based AR follow-up and charge posting.
  • Strong understanding of the US medical insurance industry and insurance claims processing cycle.
  • Knowledge of ICD-10, CPT, and HCPC coding systems.
  • Familiarity with CMS-1500 and UB-04 claim formats.
  • Experience with Vericle Software is essential.
  • Excellent communication, problem-solving, and self-motivation skills.
  • Ability to work autonomously and efficiently in a remote setting.
Benefits

This role offers the opportunity to work from home and make a meaningful contribution to the healthcare industry.

What We Offer

We provide a dynamic and supportive work environment that fosters growth and development.



  • Barcelona, Philippines beBeeBilling Full time ₱35,000 - ₱50,000

    Job Title:Medical Billing Specialist or Revenue Cycle Management (RCM) SpecialistLog into the clients 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...


  • Barcelona, Philippines beBeeMedicine Full time ₱30,600 - ₱45,300

    Medical Billing Specialist Job DescriptionThe ideal candidate will have strong organizational skills, exceptional accuracy in data entry, and experience in managing medical claims and insurance processes.Responsibilities include accurately inputting claim information into the system and maintaining organized spreadsheets.Tracking payments and denials to...


  • Barcelona, Philippines beBeeUtilization Full time ₱55,000 - ₱155,000

    Utilization Review SpecialistWe are seeking a skilled professional to fill the role of Utilization Review Specialist.Key Responsibilities:Assess and interpret customer needs, requirements, and medical records.Review medical claims for medical necessity.Collaborate with cross-functional teams to ensure efficient claim processing.Stay up-to-date with industry...


  • Barcelona, Philippines beBeeHealthcare Full time $21,600

    Job Title: Healthcare Data AnalystJob Summary:We are seeking a detail-oriented and analytical data analyst to join our team remotely. This role focuses on supporting clinical and coding operations through accurate data analysis, specifically involving Hierarchical Condition Categories (HCC), Risk Adjustment Factor (RAF) scoring, and healthcare claims...


  • Barcelona, Philippines beBeeBilling Full time ₱30,000 - ₱45,000

    Job Opportunity:">A highly skilled and organized Medical Billing Specialist is sought to support the billing and revenue cycle management team in a remote position. The ideal candidate will be detail-oriented and proactive, with strong communication skills.">Key Responsibilities:">Prepare and submit medical claims to insurance companies, both electronic and...

  • Claims Processor

    1 week ago


    Barcelona, Philippines beBeeBilling Full time ₱50,000 - ₱60,000

    Medical Billing Specialist Job SummaryThe Medical Billing Specialist plays a vital role in our healthcare team by monitoring the status of medical claims, investigating rejections and denials, and documenting related account activities.Key ResponsibilitiesVerify patient eligibility and benefits to ensure accurate coverage.Review and submit claims in a timely...


  • Barcelona, Philippines beBeePharmacist Full time ₱6,000 - ₱7,000

    This role is ideal for a skilled pharmacist looking to advance their career in healthcare. Key responsibilities include medication verification, claims review, and data integration.Key Responsibilities:Medication VerificationVerify the accuracy of medications packed into dose-ready sachets using AI-driven tools.Cross-check AI-identified medications against...


  • Barcelona, Philippines beBeeHealthcare Full time $9,600 - $28,800

    Healthcare Claim SpecialistA vital position in healthcare facilities, Medical Billers play a significant role by submitting claims to insurance companies. Daily tasks involve processing data from medical coders, ensuring timely payment of claims, verifying insurance coverage, reviewing denied claims, and assisting patients with billing...


  • Barcelona, Philippines beBeeReimbursement Full time ₱20,000 - ₱33,000

    Medical Billing SpecialistThe Medical Billing Specialist will play a critical role in ensuring the accuracy and efficiency of our medical billing process.Accurately post medical charges, payments, and journal entries to patient accountsWork directly with insurance companies, healthcare providers, and patients to efficiently process and manage claimsVerify...


  • Barcelona, Philippines beBeeMedical Full time $60,000 - $80,000

    Remote Medical Billing SpecialistWe are seeking a skilled professional to manage accounts receivables and maintain accurate records. This is a remote work opportunity that requires strong attention to detail, excellent communication skills, and a thorough understanding of medical billing and coding practices.Key Responsibilities:Manage accounts receivables...