
Medical Claims Specialist
2 days ago
Job Title: Medical Claims Specialist
Key Responsibilities:- Research and resolve claim discrepancies, implementing measures to prevent future issues.
- Document all account activities accurately and in a timely manner.
- Process adjustments and manage collections from various payers.
- Demonstrate proficiency with billing systems and leverage functionality to ensure efficient claim processing.
- Maintain up-to-date knowledge of changes in billing guidelines, payer contracts, and regulations.
- At least 2 years of experience in end-to-end revenue cycle processes, including eligibility verification, charge review, claims submission, denial management, and collections.
- Experience in advanced medical billing software is required.
- Candidates must demonstrate ability to work collaboratively with team members and healthcare providers.
- Candidates must be able to function in fast-paced work environment and handle periods of high pressure.
- Excellent customer service skills are necessary for interacting with stakeholders, insurance companies, and healthcare providers.
- Opportunity to work in a dynamic and growing industry.
- Chance to develop skills and expertise in medical billing.
- Potential for career advancement and professional growth.
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Expert Medical Claims Specialist
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Certified Medical Claims Professional
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Quezon City, National Capital Region, Philippines beBeeBilling Full time $50,000 - $70,000Job OpportunityThe Medical Billing Specialist - Collection position is a key role within our healthcare team. This role involves monitoring the status of medical claims, thoroughly investigating rejections and denials, and documenting related account activities. The incumbent is responsible for posting adjustments and managing collections for various payers,...