Medical Claims Specialist

14 hours ago


Mabalacat, Central Luzon, Philippines beBeeMedicalClaims Full time $40,000 - $60,000
Job Overview

We are seeking a detail-oriented professional to fill the role of Medical Claims Specialist.

Key Responsibilities:
  • Accurately process and manage medical claims and insurance processes.
  • Track payments and denials, ensuring claims are processed efficiently.
  • Resubmit denied or incorrect claims and resolve any related issues promptly.
  • Prepare and deliver monthly claim billing reports and summaries.
  • Contact insurance agencies to address inquiries and resolve claim denials.
Requirements:
  • Experience in medical billing and claims management.
  • Proficient in using ClickUp, Google Suite (Docs, Sheets, etc.), and Trizetto Simple Claim.
  • Strong attention to detail and accuracy in data entry.
  • Excellent communication skills for handling insurance inquiries and resolving issues.
  • Ability to analyze claim denials and determine the best course of action.


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