Medical Claims Auditor

21 hours ago


Batangas, Calabarzon, Philippines beBeeMedical Full time ₱320,000 - ₱480,000
Medical Billing Specialist

We are seeking a detail-oriented and organized Medical Biller to handle medical claims and insurance processes.

Key Responsibilities
  • Audit claim information for accuracy and maintain organized spreadsheets.
  • Track payments and denials, ensuring claims are processed efficiently.
  • Resubmit denied or incorrect claims and resolve any related issues promptly.
  • Prepare and deliver monthly claim billing reports and summaries.
  • Contact insurance agencies to address inquiries and resolve claim denials.
Requirements
  • Experience in medical billing and claims management.
  • Proficient in using ClickUp, Google Suite (Docs, Sheets, etc.), and Trizetto Simple Claim.
  • Strong attention to detail and accuracy in data entry.
  • Excellent communication skills for handling insurance inquiries and resolving issues.
  • Ability to analyze claim denials and determine the best course of action.
About This Role

This position plays a crucial role in ensuring timely and accurate submission and tracking of medical claims while maintaining compliance with all relevant policies and regulations.

You will be part of a remote team in the healthcare industry, working in a structured environment with access to the latest tools and technology.



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