Medical Claims Analyst

13 hours ago


Cavite City, Calabarzon, Philippines beBeeClaim Full time ₱800,000 - ₱1,200,000
Job Overview

We are seeking a highly skilled Medical Claims Analyst to join our team. This individual will be responsible for maximizing insurance reimbursement for healthcare practice owners.

The ideal candidate will have experience in US-based AR follow-up and charge and payment posting, with knowledge of ICD-10, CPT, and HCPC.

Key Responsibilities
  • Maximize insurance reimbursement for healthcare practice owners by identifying and resolving claim denials, underpayments, and delays.
  • Interact with US-based insurance carriers to resolve unpaid claims, delayed processing, and underpayment issues.
  • Develop and implement strategies to improve medical insurance claim denial appeal processes.
  • Collaborate with healthcare professionals and practice owners to ensure accurate and complete data on insurance claims.
Requirements
  • Minimum of 6 months experience in US-based AR follow-up and charge and payment posting.
  • Familiarity with US medical insurance industry and insurance claims processing cycle.
  • Knowledge of ICD-10, CPT, and HCPC coding systems.
  • Understanding of CMS-1500 and UB-04 claim formats.
  • Experience with Vericle Software is highly preferred.
  • Excellent communication, problem-solving, and analytical skills.
  • Able to work independently and prioritize tasks effectively.


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