Professional Insurance Reimbursement Specialist

14 hours ago

Manila, National Capital Region, Philippines beBeeMedicalBiller Full time ₱40,000 - ₱60,000
Job Overview

We are seeking a skilled Medical Biller who will maximize insurance reimbursement for healthcare practice owners by analyzing claim denials, underpayments, and delays. This role is ideal for individuals who thrive in dynamic teams and have experience with US-based AR follow-up and charge payment posting.

Key Responsibilities
  • Analyze claim denials, underpayments, and delays to ensure timely reimbursement.
  • Investigate root causes of medical insurance claim issues and propose resolutions.
  • Communicate with US-based insurance carriers to resolve unpaid claims, delayed processing, and underpayment.
  • Develop and execute strategies for medical insurance claim denial appeals.
  • Collaborate with clinicians to ensure accurate and complete insurance claims.
Required Skills and Qualifications
  • At least 6 months experience in US-based AR follow-up and charge payment posting.
  • Familiarity with the 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.
  • Excellent communication, problem-solving, and self-motivation skills.

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