
Medical Claims Specialist
17 hours ago
Job Title: Medical Claims Specialist
Job Description:A medical claims specialist is responsible for accurately and efficiently processing medical claims, ensuring timely payments to healthcare providers.
- Verify patient information and ensure correct insurance filing details.
- Review and process claims using billing software, including electronic and paper claim processing.
- Follow up on unpaid claims within the standard billing cycle time frame.
- Research and appeal denied claims in compliance with HIPAA regulations.
- Handle sensitive patient information with confidentiality and integrity.
- Check eligibility and benefit verification for accurate payment processing.
- Review patient bills for accuracy and completeness, ensuring no errors or discrepancies.
- Stay updated on insurance guidelines, including HMO/PPO, Medicare, and state Medicaid regulations.
- Eligibility verification and precertification through web or verbal communication with insurance companies.
- Credentialing knowledge an added advantage.
- Denial management knowledge.
-
Medical Claims Specialist
16 hours ago
San Fernando, Central Luzon, Philippines beBeeClaims Full time ₱4,000 - ₱5,500Job SummaryWe are seeking a skilled Claims Specialist to join our team. This individual will be responsible for processing and submitting medical claims, verifying insurance coverage, and managing the credentialing process.ResponsibilitiesVerify patient eligibility and benefits with insurance providersCode claims according to accepted codes furnished by...
-
Epic Medical Claims Specialist
10 hours ago
San Fernando, Central Luzon, Philippines beBeeMedicalClaimsSpecialist Full time ₱20,000 - ₱33,000About the Role:The Medical Claims Specialist will play a critical part in ensuring seamless financial processes for our healthcare clients.This key position involves working directly with insurance companies, healthcare providers, and patients to efficiently process and manage claims.Responsibilities include:Accurately posting medical charges, payments, and...
-
Healthcare Medical Claims Specialist
16 hours ago
San Fernando, Central Luzon, Philippines beBeeMedicalClaims Full time ₱250,000 - ₱425,000We are looking for a detail-oriented and organized Medical Claims Specialist to join our team.Job DescriptionThis role involves accurate data entry, efficient claim tracking, and compliance with all relevant policies and regulations. You will play a crucial part in ensuring timely and accurate submission and tracking of medical...
-
Medical Claims Processor
16 hours ago
San Fernando, Central Luzon, Philippines beBeeBilling Full time ₱750,000 - ₱1,100,000Medical Billing SpecialistJob Description:We are seeking a skilled Medical Billing Specialist to join our team. As a key member of our revenue cycle department, you will be responsible for all aspects of medical billing and collections.Coordinate with various departments to gather information and post charges to resident accounts.Review charges for accuracy...
-
Senior Medical Claims Specialist
9 hours ago
San Fernando, Central Luzon, Philippines beBeeMedicalBilling Full time ₱5,000,000 - ₱6,250,000Position Overview:We are seeking a highly skilled Certified Medical Biller and Coder to play a critical role in our organization's financial operations. As a key member of our team, you will be responsible for ensuring accurate and timely submission of medical claims. Your expertise in medical coding and billing processes will help optimize revenue cycles...
-
Medical Claims Professional
10 hours ago
San Fernando, Central Luzon, Philippines beBeeHealthcare Full time $54,000 - $72,000Healthcare Revenue Cycle ExpertThis role is an excellent opportunity for someone with experience in medical billing or claims follow-up who thrives in a fast-paced, process-driven environment.The successful candidate will support the revenue cycle operations of a U.S.-based healthcare client by reducing claim denials and recovering aging or stale claims.Log...
-
US Healthcare Medical Claim Specialist
11 hours ago
San Fernando, Central Luzon, Philippines beBeeBiller Full time $20,000 - $38,000Medical Biller OpportunityWe are seeking a dedicated and detail-oriented Medical Biller to join our team. As a key member of our revenue cycle management team, you will be responsible for accurately posting medical charges, payments, and journal entries to patient accounts.Key responsibilities include working directly with insurance companies, healthcare...
-
Medical Billing Specialist
14 hours ago
San Fernando, Central Luzon, Philippines beBeeAnalytical Full time ₱300,000 - ₱500,000Are you a skilled professional looking for a challenging role in medical billing and insurance claims processing?About the RoleWe are seeking an experienced Medical Biller AR Follow-up Analyst to join our team. As a key member of our revenue cycle management team, you will be responsible for maximizing insurance reimbursement for healthcare practice owners,...
-
Healthcare Claims Processor
10 hours ago
San Fernando, Central Luzon, Philippines beBeeMedicine Full time ₱450,000 - ₱850,000Medical Billing SpecialistThe Medical Billing Specialist is a pivotal role within our healthcare organization. The primary responsibility involves monitoring medical claims and investigating rejections and denials.This position requires in-depth knowledge of eligibility requirements and payment methodologies, as well as the ability to work collaboratively...
-
Medical Coding Expert
13 hours ago
San Fernando, Central Luzon, Philippines beBeeCoding Full time $60,000 - $80,000Job OverviewThis role involves conducting research to identify medical coding and billing documents for our automated claims editing solution. The solution is utilized by medical insurance payers across the United States, with clinical content including diagnosis codes, procedure codes, age minimums & maximums, quantity limitations, place of service...