Medical Reimbursement Specialist

23 hours ago


Mandaluyong City, National Capital Region, Philippines beBeeReimbursement Full time $40,000 - $60,000
Job Overview

We are seeking a Medical Biller AR Follow-up Specialist to join our team. In this role, you will play a crucial part in maximizing insurance reimbursement for healthcare providers by effectively resolving medical claim denials, underpayments, and delays.

About the Role
  • You will work closely with practice owners and clinicians to identify and resolve root causes of claim denial, underpayment, or delay.
  • Excellent analytical and communication skills are required to interact with US-based insurance carriers and follow up on unpaid claims, delayed processing, and underpayment.
Requirements
  • At least 6 months of experience in US-based AR follow-up and charge payment posting is mandatory.
  • Familiarity with the US medical insurance industry and insurance claims processing cycle is also essential.
  • Knowledge of ICD-10, CPT, and HCPC coding systems is necessary for success in this role.
  • A strong understanding of CMS-1500 and UB-04 claim formats is also required.
  • Experience with Vericle Software is a must.
  • Strong problem-solving and communication skills are essential for this role.
Benefits
  • This is an excellent opportunity for career growth and development.
  • The ideal candidate will be self-motivated and able to work autonomously.
Preferred Skills
  • A high comfort level working on Eastern Time Zone/US Shift is preferred.
  • Good internet access at home is required.
  • A laptop/desktop with at least 8 GB RAM is also essential.
Seniority Level
  • This is an entry-level position.
Employment Type
  • This is a full-time job.
Industry
  • This role is within the healthcare industry.


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