Epic Medical Claims Specialist

20 hours ago


San Fernando, Central Luzon, Philippines beBeeMedicalClaimsSpecialist Full time ₱20,000 - ₱33,000

About the Role:

The Medical Claims Specialist will play a critical part in ensuring seamless financial processes for our healthcare clients.

This key position involves working directly with insurance companies, healthcare providers, and patients to efficiently process and manage claims.

Responsibilities include:

  • Accurately posting medical charges, payments, and journal entries to patient accounts
  • Verifying insurance eligibility and benefits, along with patient registration data
  • Preparing and transmitting claims using industry-standard software
  • Proactively following up on unpaid claims and researching denied claims to ensure maximum reimbursement
  • Expertly appealing denied claims, navigating complex insurance guidelines
  • Maintaining strict compliance with HIPAA regulations and industry standards

Requirements:

To succeed in this role, candidates should possess:

  • Proven experience as a Medical Biller, specifically with extensive hands-on experience using electronic medical records (EMRs)
  • A solid understanding of US Healthcare insurance guidelines and medical billing best practices
  • Demonstrated ability to perform eligibility and benefit verification
  • Proficiency in obtaining claim statuses and navigating payer portals
  • Experience with charge entry from superbills and posting ERA/EOB
  • A strong commitment to maintaining HIPAA compliance

Nice-to-Haves:

Candidates with knowledge of credentialing processes or experience in denial management and appeals may be at an advantage.

],

  • San Fernando, Central Luzon, Philippines beBeeClaims Full time ₱25,000 - ₱40,000

    Job Title: Medical Claims SpecialistJob Description:A medical claims specialist is responsible for accurately and efficiently processing medical claims, ensuring timely payments to healthcare providers.Verify patient information and ensure correct insurance filing details.Review and process claims using billing software, including electronic and paper claim...


  • San Fernando, Central Luzon, Philippines beBeeClaims Full time ₱4,000 - ₱5,500

    Job SummaryWe are seeking a skilled Claims Specialist to join our team. This individual will be responsible for processing and submitting medical claims, verifying insurance coverage, and managing the credentialing process.ResponsibilitiesVerify patient eligibility and benefits with insurance providersCode claims according to accepted codes furnished by...


  • San Fernando, Central Luzon, Philippines beBeeMedicalClaims Full time ₱250,000 - ₱425,000

    We are looking for a detail-oriented and organized Medical Claims Specialist to join our team.Job DescriptionThis role involves accurate data entry, efficient claim tracking, and compliance with all relevant policies and regulations. You will play a crucial part in ensuring timely and accurate submission and tracking of medical...


  • San Fernando, Central Luzon, Philippines beBeeReceivables Full time $40,000 - $50,000

    Job Title:Medical Accounts Receivable SpecialistRole Overview:The Medical Accounts Receivable Specialist plays a vital role in the financial operations of an organization. This position is responsible for managing and monitoring incoming payments to ensure accuracy in accounts receivable records. Strong analytical skills and a solid understanding of...


  • San Fernando, Central Luzon, Philippines beBeeBilling Full time ₱750,000 - ₱1,100,000

    Medical Billing SpecialistJob Description:We are seeking a skilled Medical Billing Specialist to join our team. As a key member of our revenue cycle department, you will be responsible for all aspects of medical billing and collections.Coordinate with various departments to gather information and post charges to resident accounts.Review charges for accuracy...


  • San Fernando, Central Luzon, Philippines beBeeMedicalBilling Full time ₱5,000,000 - ₱6,250,000

    Position Overview:We are seeking a highly skilled Certified Medical Biller and Coder to play a critical role in our organization's financial operations. As a key member of our team, you will be responsible for ensuring accurate and timely submission of medical claims. Your expertise in medical coding and billing processes will help optimize revenue cycles...


  • San Fernando, Central Luzon, Philippines beBeeHealthcare Full time $54,000 - $72,000

    Healthcare Revenue Cycle ExpertThis role is an excellent opportunity for someone with experience in medical billing or claims follow-up who thrives in a fast-paced, process-driven environment.The successful candidate will support the revenue cycle operations of a U.S.-based healthcare client by reducing claim denials and recovering aging or stale claims.Log...


  • San Fernando, Central Luzon, Philippines beBeeBiller Full time $20,000 - $38,000

    Medical Biller OpportunityWe are seeking a dedicated and detail-oriented Medical Biller to join our team. As a key member of our revenue cycle management team, you will be responsible for accurately posting medical charges, payments, and journal entries to patient accounts.Key responsibilities include working directly with insurance companies, healthcare...


  • San Fernando, Central Luzon, Philippines beBeeAnalytical Full time ₱300,000 - ₱500,000

    Are you a skilled professional looking for a challenging role in medical billing and insurance claims processing?About the RoleWe are seeking an experienced Medical Biller AR Follow-up Analyst to join our team. As a key member of our revenue cycle management team, you will be responsible for maximizing insurance reimbursement for healthcare practice owners,...


  • San Fernando, Central Luzon, Philippines beBeeMedicine Full time ₱450,000 - ₱850,000

    Medical Billing SpecialistThe Medical Billing Specialist is a pivotal role within our healthcare organization. The primary responsibility involves monitoring medical claims and investigating rejections and denials.This position requires in-depth knowledge of eligibility requirements and payment methodologies, as well as the ability to work collaboratively...