Professional Medical Claims Processor

7 days ago


Dumaguete, Central Visayas, Philippines beBeeMedicalBiller Full time ₱250,000 - ₱400,000
Job Opportunity

As a Medical Biller for US Healthcare, you will be responsible for accurately and efficiently processing medical claims.

About the Position

This role involves working with insurance companies, healthcare providers, and patients to ensure timely and accurate claim processing.

Key Responsibilities
  • Verify correct insurance filing information on behalf of clients and patients.
  • Prepare, review, and transmit claims using billing software.
  • Follow up on unpaid claims within the standard billing cycle time frame.
  • Research and appeal denied claims.
  • Meet individual and departmental standards with regard to quality and productivity.
  • Ability to handle protected health information in a manner consistent with HIPAA.
Additional Duties
  • Able to perform eligibility verification and precertification through the web or verbally with insurance companies.
  • Call insurance companies and obtain claim status with different payers and document it in the system.
  • Read superbills and make charge entry in the PMS.
  • Post ERA (Electronic Remittance Advice) and EOB (Explanation of Benefits) from various systems and websites.
Benefits
  • Paid Training
  • Work-from-Home Option
  • Midshift Schedule
  • Health Maintenance Organization (HMO)
  • Government-mandated benefits, paid leaves, and holiday pay


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