Medical Claims Specialist
21 hours ago
Our organization is seeking a skilled Medical Claims Specialist to join our team. This critical role involves monitoring the status of medical claims, thoroughly investigating rejections and denials, and diligently documenting related account activities.
Key Responsibilities:- Perform eligibility verification and benefits checks to ensure accurate patient coverage.
- Review and submit claims in a timely and compliant manner.
- Obtain prior authorizations to support smooth claim approvals.
- Monitor the status of medical claims and conduct A/R follow-up to ensure prompt and accurate payment.
- Research and resolve claim rejections and denials, implementing measures to prevent future occurrences.
- At least 2 years of experience in end-to-end revenue cycle processes, including eligibility and benefits verification, charge review, claims submission, AR follow-up, denial management, collections, prior authorizations, payment posting, and handling medical records requests.
- Proficiency in DME and experience with Apero are preferred.
- Excellent customer service skills and ability to work collaboratively with team members and healthcare providers.
This position requires the ability to function in a fast-paced work environment and handle occasional periods of above-average pressure. The successful candidate will have excellent communication and organizational skills.
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Medical Claims Specialist
21 hours ago
Manila, National Capital Region, Philippines beBeeClaims Full time $40,000 - $60,000Medical Claims SpecialistWe are seeking a detail-oriented medical claims specialist to join our team. The ideal candidate will have strong organizational skills and experience in managing medical claims and insurance processes.The key responsibilities of this role include accurately inputting claim information into the system, maintaining organized...
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Medical Claims Specialist
2 weeks ago
Manila, National Capital Region, Philippines beBeeMedicine Full time ₱250,000 - ₱500,000Job Title: Medical Claims SpecialistJob Summary:We are seeking a skilled and organized individual to join our team as a Medical Claims Specialist. This role involves researching and correcting rejected claims, re-submitting claims with supporting documentation, and communicating with payers to secure payment for claims.Key Responsibilities:Research and...
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Medical Claims Specialist
20 hours ago
Manila, National Capital Region, Philippines beBeeClaims Full time $45,000 - $62,000Job Overview">ClinicMind is seeking a Medical Claims Specialist to maximize insurance reimbursement for healthcare practice owners. This role involves analyzing claim denials, underpayments, and delays to propose resolutions.">Responsibilities"> Maximize insurance reimbursement by analyzing claims and proposing resolutions Identify root causes of claim...
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Medical Claims Processor
6 days ago
Manila, National Capital Region, Philippines beBeeDetailoriented Full time $40,000 - $60,000Job OverviewWe are seeking a skilled and detail-oriented Medical Billing Specialist to join our team. As a key member of our operations staff, you will play a vital role in reducing claim denials and recovering aging or stale claims.ResponsibilitiesReview and manage denied or aging claims by logging into the client's billing systemWork claim queues to...
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Expert Medical Claim Specialist Wanted
21 hours ago
Manila, National Capital Region, Philippines beBeeClaims Full time $40,000 - $60,000Job Title:Medical Claims SpecialistJob Description:We are seeking a detail-oriented Medical Claims Specialist to support the revenue cycle operations of a U.S.-based healthcare client. This role is primarily focused on reducing claim denials and recovering aging or stale claims. You'll be working directly in the clients billing system, managing claim queues,...
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Chief Medical Claims Specialist
21 hours ago
Manila, National Capital Region, Philippines beBeeMedicalBiller Full time ₱50,000 - ₱70,000Job SummaryWe are seeking a highly skilled Medical Biller to manage the timely and accurate submission and tracking of medical claims. This role requires strong organizational skills, exceptional accuracy in data entry, and experience in managing medical claims and insurance processes.ResponsibilitiesAudit claim information for accuracy and maintain...
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Full-time Medical Claims Processor
21 hours ago
Manila, National Capital Region, Philippines beBeeBilling Full time $50,000 - $70,000Medical Billing Specialist Job DescriptionWe are seeking a detail-oriented Medical Billing Specialist to support the revenue cycle operations of a healthcare client. This role is primarily focused on reducing claim denials and recovering aging or stale claims.You will be working directly in the client's billing system, managing claim queues, and...
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Detailed Medical Claims Analyst
14 hours ago
Manila, National Capital Region, Philippines beBeeClaims Full time $60,000 - $72,000We are seeking a detail-oriented and analytical Medical Claims Specialist to join our team. As a key member of our organization, you will be responsible for maximizing insurance reimbursement for healthcare practice owners by identifying root causes of claim denials, underpayments, or delays and proposing effective resolutions.ResponsibilitiesBetter manage...
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Medically Oriented Claims Professional
15 hours ago
Manila, National Capital Region, Philippines beBeeMedicalClaims Full time $50,000 - $70,000Job SummaryWe are seeking a diligent and proactive Medical Claims Specialist to support our healthcare client's growing physical therapy practice.The ideal candidate will have proven experience in medical billing, accounts receivable, or claims management, with familiarity with electronic health records and Microsoft Office Suite. They should possess strong...
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Medical Claim Administrator
14 hours ago
Manila, National Capital Region, Philippines beBeeMedicare Full time ₱450,000 - ₱850,000Job Position OverviewThe Medical Billing Specialist plays a critical role in our healthcare team's operational efficiency.Key Responsibilities and ExpectationsVerify patient eligibility and benefits to ensure accurate coverage for compliant claims submissions.Submit claims in a timely and compliant manner, adhering to regulatory requirements and industry...
