Healthcare Claims Professional

2 days ago

Pasig, National Capital Region, Philippines beBeeMedical Full time ₱2,500,000 - ₱3,500,000
Job Overview

We are seeking a detail-oriented and organized individual to fill the role of Medical Claims Processor. This position involves ensuring accurate and timely submission of claims to insurance providers.

Key Responsibilities:
  • Verify patient information and benefits through insurance providers.
  • Coding claims using approved codes is a critical aspect of this role.
  • A thorough review of claims for potential denials is required, with resubmissions made as needed.
  • Claims must be submitted electronically within 72 hours of service date.
  • Denied claims require correction and resubmission within 7 days.
  • Pull reports from insurers' payment websites and reconcile with financial records.
  • Maintain up-to-date credentialing information with each insurer.
Requirements:
  • Excellent attention to detail and strong written/oral communication skills are essential.
  • Familiarity with medical billing software, such as Acusimple, is necessary.
  • The ability to multitask and manage multiple priorities is crucial.
  • A patient and friendly demeanor is vital in this customer-facing role.

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