Financial Claim Resolution Specialist

19 hours ago


Bacoor, Calabarzon, Philippines beBeeSpecialist Full time $35,000 - $45,000
Job Title:

Medical Billing Specialist

Job Description:

We are seeking a detail-oriented individual to support our revenue cycle operations. The Medical Billing Specialist will primarily focus on reducing claim denials and recovering aging or stale claims.

This role involves working directly in our billing system, managing claim queues, and communicating with payers to ensure timely and accurate reimbursement.

Key Responsibilities:
  1. Log into our billing system to review and manage denied or aging claims
  2. Work claim queues to identify root causes of denials and submit appropriate documentation or corrections
  3. Make outbound phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues
  4. Escalate recurring denial trends or system/process bottlenecks to the RCM lead
  5. Maintain accurate and detailed notes of all payer interactions and claim activities
Qualifications:
  • 1-3 years of experience in medical billing, revenue cycle management, or claims follow-up
  • Familiarity with payer portals and billing systems (e.g., Kareo, Athena, AdvancedMD)
  • High attention to detail and ability to work independently on repetitive or process-heavy tasks
  • Strong written and verbal communication skills in English
  • Comfortable speaking with payers over the phone and navigating insurance systems
Nice to Have:
  • Experience with denial management and recovery of aged claims
  • Previous work with U.S.-based healthcare providers
  • Background in a remote RCM role


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