Healthcare Revenue Cycle Specialist

2 weeks ago


Imus, Calabarzon, Philippines beBeeBilling Full time ₱300,000 - ₱400,000
Medical Claims Analyst Position

The Claims Analyst is a key role within our healthcare team. This position is accountable for monitoring the status of medical claims, thoroughly investigating rejections and denials, and diligently documenting related account activities. The Medical Biller is tasked with the critical responsibility of posting adjustments and managing collections for a diverse range of payers, including Medicare, Medicaid, commercial insurance, and Workers' Compensation.

Job Responsibilities
  • Perform verification of patient eligibility and benefits to ensure accurate coverage.
  • Review and submit claims in a timely and compliant manner.
  • Obtain prior authorizations to support smooth claim approvals.
  • Monitor the status of medical claims and conduct follow-up to ensure prompt payment.
  • Research and resolve claim rejections and denials, implementing measures to prevent future occurrences.
Key Requirements
  • At least 2 years of experience in revenue cycle processes, including eligibility and benefits verification, charge review, claims submission, AR follow-up and denial management, and collections.
  • Proficiency in using billing systems and leverage all functionality to ensure efficient processing of claims.
  • Excellent customer service skills and ability to collaborate with team members and healthcare providers.
Benefits

This role offers a fast-paced work environment with opportunities for professional growth and development.



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