Healthcare Claim Specialist

2 weeks ago


Imus, Calabarzon, Philippines beBeeClaims Full time ₱240,000 - ₱480,000
Job Title: Healthcare Claim Specialist

The primary objective of this role is to ensure seamless claim processing and reimbursement in a healthcare setting. To accomplish this, the selected candidate will be responsible for reviewing claims data, identifying areas of improvement, and implementing corrective measures.

  • Key Responsibilities:
  • Verify accuracy of patient demographics and insurance information
  • Process claims submissions, addressing any discrepancies or issues that may arise
  • Engage with payers to resolve payment delays, denials, or discrepancies
  • Develop and implement process improvements to enhance overall efficiency
  • Document all interactions and activities related to claim management

Qualifications:

  • At least 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up
  • Familiarity with electronic health records (EHRs) and practice management systems
  • Strong analytical and problem-solving skills, with ability to work independently on repetitive tasks
  • Excellent written and verbal communication skills in English

Nice to Have:

  • Experience with denial management and recovery of aged claims
  • Background in U.S.-based healthcare operations


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