Medical Claims Specialist

2 days ago


Quezon City, National Capital Region, Philippines beBeeMedicalBilling Full time $45,000 - $65,000

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.
Required Skills and Qualifications:
  • 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.
Benefits:
  • 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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