Claims Resolution Specialist

1 day ago


Las Piñas, National Capital Region, Philippines beBeeMedicalBiller Full time ₱600,000 - ₱1,000,000
Job Overview

A Medical Biller AR Followup Analyst plays a vital role in maximizing insurance reimbursement for healthcare practice owners. This position involves analyzing and resolving medical billing discrepancies, interacting with insurance carriers to resolve claims issues, and collaborating with practice owners to optimize their revenue cycle.

Responsibilities
  • Investigate root causes of medical insurance claim denials, underpayments, or delays and propose corrective actions.
  • Communicate effectively with insurance carriers to follow up on unpaid claims, delayed processing, and underpayment.
  • Develop and execute strategies to address medical insurance claim denial appeals.
  • Collaborate with practice owners and clinicians to ensure accurate and complete data submission for insurance claims.
Key Qualifications
  • Experience working with Vericle Software.
  • Exceptional communication, problem-solving, and analytical skills.
  • Ability to work independently and prioritize tasks effectively.


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