Insurance Reimbursement Specialist

1 day ago

Las Piñas, National Capital Region, Philippines beBeeMedicalBiller Full time ₱180,000 - ₱270,000

We're seeking a skilled professional to maximize insurance reimbursement for healthcare practice owners by discovering root causes of claim denial, underpayment, or delay. This role requires strong analytical skills, including data analysis and classification, as well as familiarity with the US medical insurance industry and insurance claims processing cycle.

Key Responsibilities
  • Maximize insurance reimbursement for healthcare practice owners by discovering root causes of claim denial, underpayment, or delay.
  • Interact with US-based insurance carriers to follow-up on unpaid claims, delayed processing, and underpayment.
  • Plan and execute medical insurance claim denial appeal process.
  • Collaborate with clinicians to complete and correct missing or incorrect data on insurance claims.
Required Skills and Qualifications
  • At least 6 months experience in AR follow-up and charge and payment posting.
  • College degree in Computer Engineering, Mathematics, or similar field.
  • Strong analytical skills, including data analysis and classification.
  • Familiarity with the US medical insurance industry and insurance claims processing cycle.
  • Knowledge of ICD-10, CPT, HCPC, CMS-1500, and UB-04 claim formats.
  • Excellent listening, communication, and problem-solving skills.
  • Able to work autonomously and self-motivated.
  • Experience with chiropractic, physical therapy, and mental/behavioral health specialties is an advantage.
Benefits
  • High comfort level working on Eastern Time Zone/US Shift.
  • Good internet access at home.
  • Mobile Hotspot.
  • Laptop/Desktop with at least 8 GB RAM.

This role is perfect for those who thrive in a dynamic environment and are passionate about delivering exceptional results.

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