Healthcare Revenue Cycle Specialist

4 days ago


Quezon City, National Capital Region, Philippines Sourcefit DR Full time
Responsibilities

The Medical Billing Specialist will be responsible for:

  • Managing the entire claims process, from receipt of claims to resolution.
  • Reviewing and analyzing claim status to identify areas for improvement.
  • Navigating online portals to verify claim information and obtain necessary documentation.
  • Communicating with payers to resolve claim discrepancies and obtain necessary information.
  • Investigating and resolving claim denials, and following up on outstanding claims.

Requirements:

  • At least 3 years' experience in an accounts receivable role, with a focus on healthcare claims management.
  • Excellent communication and interpersonal skills, with the ability to build strong relationships with payers and internal stakeholders.
  • Strong analytical and problem-solving skills, with the ability to analyze complex claim data and devise effective solutions.


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