Certified Medical Claims Expert

15 hours ago


Bacoor, Calabarzon, Philippines beBeeMedicalBilling Full time ₱1,800,000 - ₱3,000,000
Key Role Summary

The Medical Billing Specialist is accountable for monitoring the status of medical claims, thoroughly investigating rejections and denials, and diligently documenting related account activities. This position requires a deep understanding of various eligibility requirements and payment methodologies.

Job Description
  • Monitor medical claim statuses and investigate rejections and denials.
  • Document all account activities accurately and in a timely manner.
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.
  • Research and resolve claim rejections and denials, implementing measures to prevent future occurrences.
  • Generate and submit patient statements (no patient interaction).
  • Post manual payments, apply adjustments, and manage collections from various types of payers.
  • Exhibit proficiency with billing systems and leverage all functionality to ensure efficient processing of claims.
Required Skills and Qualifications
  • At least 2 years of strong background in end-to-end revenue cycle processes, including eligibility and benefits verification, charge review, claims submission, AR follow-up and denial management, collections, prior authorizations, payment posting, and handling medical records requests.
  • Experience in DME and using Apero is preferred.
  • Candidates must demonstrate an ability to work collaboratively with team members and healthcare providers.
  • Candidates must be able to function in a fast-paced work environment and handle occasional periods of above-average pressure.
  • Excellent customer service skills are necessary, as the role involves interacting with various stakeholders, including patients, insurance companies, and healthcare providers.


  • Bacoor, Calabarzon, Philippines beBeeMedical Full time ₱350,000 - ₱500,000

    Job Title: Medical Coding SpecialistWe are seeking a skilled Certified Medical Biller and Coder to excel in accurate and timely submission of medical claims, optimizing revenue cycles while maintaining compliance with regulatory standards.Key Responsibilities:Analyze and abstract medical information from patient records for physician/NP visits and home...


  • Bacoor, Calabarzon, Philippines beBeeInsurance Full time ₱500,000 - ₱800,000

    We are seeking a Medical Claims Specialist to join our team. As a key member of our organization, you will be responsible for maximizing insurance reimbursement, identifying root causes for claim denial, and interacting with US-based insurance carriers.About the RoleMaximize insurance reimbursement for healthcare practice owners by ensuring accurate and...


  • Bacoor, Calabarzon, Philippines beBeeMedicine Full time ₱20,000 - ₱33,000

    Job DescriptionThe role of a Medical Claims Specialist is crucial in the healthcare industry as it involves maximizing reimbursements while maintaining compliance and accuracy.Responsibilities:Accurately posting medical charges, payments, and journal entries to patient accounts.Collaborating with insurance companies, healthcare providers, and patients to...


  • Bacoor, Calabarzon, Philippines beBeeHealthcare Full time $40,000 - $55,000

    Job OpportunityClinicMind seeks a detail-oriented Medical Biller AR Followup Analyst to work from home. This role is ideal for those who enjoy working independently, have excellent communication skills, and are passionate about resolving medical insurance claim issues.Main Responsibilities:Maximize insurance reimbursement for healthcare practice owners by...


  • Bacoor, Calabarzon, Philippines beBeeCoding Full time ₱3,600,000 - ₱4,200,000

    Medical Coding SpecialistThe Medical Coding Specialist will be responsible for conducting thorough research and analysis of Medicare, Medicaid, and other medical coding documents to identify claim denial or covered criteria. This role involves providing written and oral presentations to clinical colleagues to obtain consensus on proposed denial criteria.This...


  • Bacoor, Calabarzon, Philippines beBeeCoding Full time $100,000 - $120,000

    Healthcare Content Specialist Role OverviewThis is a unique opportunity to leverage your expertise in medical coding and billing to drive the development of our automated claims editing solution.The successful candidate will be responsible for conducting thorough research and analysis of Medicare, Medicaid, and other relevant documents to identify claim...


  • Bacoor, Calabarzon, Philippines beBeeBiller Full time $9,600

    Medical Billing is a crucial function in healthcare facilities, involving the submission of claims to insurance companies. Key responsibilities include processing data from medical coders, ensuring timely payment of claims, verifying insurance coverage, reviewing denied claims, and assisting patients with billing inquiries.Key Skills:Customer service...


  • Bacoor, Calabarzon, Philippines beBeeSpecialist Full time $35,000 - $45,000

    Job Title:Medical Billing SpecialistJob Description:We are seeking a detail-oriented individual to support our revenue cycle operations. The Medical Billing Specialist will primarily focus on reducing claim denials and recovering aging or stale claims.This role involves working directly in our billing system, managing claim queues, and communicating with...


  • Bacoor, Calabarzon, Philippines beBeeCoder Full time ₱60,000 - ₱250,000

    Role OverviewA highly skilled Certified Medical Coder is required to review and assign accurate codes for clinical documentation, ensuring clean claim submission and compliance with payer and regulatory guidelines.The ideal candidate will have strong coding expertise, analytical skills, and problem-solving abilities to support a dynamic team.Coding Accuracy:...


  • Bacoor, Calabarzon, Philippines beBeeClaim Full time $45,000 - $60,000

    Job Title: Healthcare Claim SpecialistThis role focuses on reducing claim denials and recovering aging or stale claims in a healthcare setting.The ideal candidate will be detail-oriented with experience in medical billing, claim management, or similar roles. They should thrive in a fast-paced, process-driven environment where accuracy is paramount.Main...