Medical Claims Expert

18 hours ago

Mandaluyong City, National Capital Region, Philippines beBeeMedicine Full time ₱40,000 - ₱50,000

We are seeking a skilled Medical Billing Specialist to join our team. As a member of our team, you will have the opportunity to work with highly experienced professionals who prioritize employee satisfaction and work-life balance.

Account Roles & Responsibilities
  • Review and analyze accounts receivables (A/R) reports to identify unpaid claims or patient balances.
  • Perform collection calls to patients/residents to resolve outstanding balances and secure payments.
  • Ensure accurate and timely documentation of all collection activities and account updates in the system.
  • Communicate professionally and empathetically with patients, clients, and billers.
  • Meet or exceed individual and team productivity and quality targets, including call handling metrics, collection goals, and documentation standards.
  • Work collaboratively with team members and supervisors to resolve account issues and escalate complex cases appropriately.
  • Maintain confidentiality and adhere to HIPAA and data privacy policies at all times.
  • Participate in training sessions, team meetings, and performance reviews as scheduled.
  • Demonstrate flexibility to adapt to process updates, client requirements, or additional tasks as assigned.
Qualifications
  • At least 1 year BPO experience handling US Healthcare accounts.
  • Good working knowledge with US Healthcare, Claim Denial / Rejections.
  • Excellent written and verbal English communication skills.
  • Knowledge on Revenue Cycle Management/Accounts Receivable is a plus.
  • Amenable working onsite in Mandaluyong.
  • Willing to work night shifts.
Our Commitment to You
  • Strong culture and values-driven leadership.
  • We create opportunities for you to learn and grow at any stage of your career.
  • Continuous learning and innovation.
  • We foster an all-inclusive environment where everyone thrives.

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