Full-Time Medical Claims Specialist Wanted

1 day ago


Angeles City, Central Luzon, Philippines beBeeClaims Full time $50,000 - $75,000
Medical Claims Specialist

We are seeking an experienced Medical Claims Specialist to join our team. In this role, you will be responsible for managing all aspects of insurance billing and processing including claim review and correction, claim submission, processing and posting of payments, researching claim rejections, aged claims, and submitting appeals.

About the Job

This is a full-time position that offers a rewarding and challenging work environment. As a Medical Claims Specialist, you will provide outsourced revenue cycle management services to optometric practices. You will be assigned a set of accounts for which you will be the primary interface for managing the customers' insurance claims.

Key Responsibilities
  • Manage accounts receivables and keep up-to-date records
  • Coordinate with healthcare providers and insurance companies for claim submission and follow-up
  • Generate revenue by making payment arrangements, collecting accounts and monitoring and pursuing delinquent accounts
  • Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments and following up with patients when payment lapses occur
  • Maintain Medicare bad-debt cost report
  • Secure outstanding balance payments for care of employees
  • Verify insurance eligibility for patients and ensure timely payment
  • Handle denied claims and appeal if necessary
  • Reconcile payments and post to patients' accounts
  • Maintain compliance with HIPAA regulations
  • Handle patient inquiries regarding their accounts
Requirements
  • At least 3 years of experience as US Medical Accounts Receivable/Medical Billing Specialist
  • Strongly experience in eyecare related billing in an optometric practice setting
  • Knowledge of medical billing and coding practices
  • Strong understanding of healthcare billing process
  • Familiarity with healthcare insurance plans and related policies
  • Experience with HIPAA regulations
  • Excellent communication and customer service skills
  • Strong attention to detail
  • Strong computer skills and experience with medical billing software
  • Amenable to work in any US time zones (graveyard shift)
  • Experience in the following system is a PLUS: RevolutionEHR, Officemate, CrystalPM, Eyefinity, etc
Benefits
  • Permanent Work From home
  • Permanent Weekends Off
  • Great Company Culture and No Micromanagement
  • Specialized Training
About Us

We are a single source solution for Healthcare administration. We pride ourselves on giving you the best solutions tailored to your practice's specific needs, so you can focus on your patients and revenue producing activities.



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