Medical Claims Specialist

2 days ago


San Juan, National Capital Region, Philippines beBeeMedicalBiller Full time ₱25,000 - ₱40,000
About the Role

The Medical Biller is responsible for accurately and efficiently processing patient accounts by posting medical charges, payments, and journal entries in a timely manner.


Key Responsibilities
  • Collaborate with insurance companies, healthcare providers, and patients to process and pay claims.
  • Verify correct insurance filing information on behalf of the client and patient.
  • Review and transmit claims using billing software.
  • Follow up on unpaid claims within the standard billing cycle timeframe.
  • Research and appeal denied claims.
  • Meet quality and productivity standards.
  • Maintain confidentiality of protected health information according to HIPAA guidelines.
  • Check eligibility and benefit verification.
  • Review patient bills for accuracy and completeness.
  • Familiarize yourself with insurance guidelines, including HMO/PPO, Medicare, and state Medicaid.

Additional Requirements
  • Able to perform eligibility verification and precertification.
  • Communicate with insurance companies to obtain claim status.
  • Process ERA and EOB from various systems and websites.


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