Healthcare Claims Specialist

6 days ago


Sorsogon, Bicol, Philippines beBeeClaims Full time $40,000 - $60,000

Job Title: Healthcare Claims Specialist

Job Summary

We are seeking a detail-oriented and skilled Healthcare Claims Specialist to support our revenue cycle operations. This professional will play a crucial role in reducing claim denials, recovering aging or stale claims, and ensuring seamless payment processing.


Main Responsibilities:
  • Login to the client's billing system to review and manage denied or aging claims.
  • Work claim queues to identify root causes of denials and submit appropriate documentation or corrections.
  • Making outbound phone calls to insurance payers to check claim statuses, appeal denials, and resolve payment issues.
  • Elevate recurring denial trends or system/process bottlenecks to the client's RCM lead.
  • Maintain accurate and detailed notes of all payer interactions and claim activities.

Key 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.


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