- Handling Claim Denials:
- Submitting appeals when necessary
- Submitting corrected claims as required
- Communicating with Insurances regarding denied claims
- Consistently following up with insurance companies to ensure timely resolution of denied claims
- Taking detailed notes during discussions with insurance companies regarding denied claims
- Seeking guidance from supervisors for denial resolution
- Utilizing insurance provider portals
- Managing Outstanding Claims (>45 Outstanding A/R):
- Verifying the status of claims outstanding for over 45 days
- Contacting insurances for EOB or claim status updates
- Using insurance provider portals
- Coordinating with the coding/AR team on-site at the HQ
- Bachelor's Degree in any field
- Minimum of 3 years of experience in processing claims and denials
- Exceptional written and verbal communication skills
- Strong data entry skills with high accuracy and attention to detail
- Preferably familiar with the EPIC system
- Ability to attend weekly meetings and daily check-ins consistently
- Willingness to work Night Shift
- Ability to work On-Site (Eastwood Site)
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Claims Processor - Metro Manila, Pilipinas - Microsourcing Philippines Inc
Paglalarawan
With a presence of over 7,000 professionals spread across 9 delivery centers in the Philippines, MicroSourcing stands out as the largest offshoring solutions provider in the country.
Join MicroSourcing as a Medical Claims Analyst and be 100% YOU!
A Medical Claims Analyst is responsible for:
Requirements to be part of our team: