Remote Insurance Claims & Appeals Specialist

BruntWork; Metro Manila; Remote; PHP 2,647,000 - 4,033,000; Full time

Benefits offered by this job

Permanent work from home

Immediate hiring

Health Insurance Coverage for eligible

Job summary

BruntWork is seeking a Back Office Insurance Support Specialist to streamline insurance operations for a healthcare organization. This full-time remote role handles medical claims submission, complex appeals, payment postings, and follow-ups using AdvancedMD, ensuring timely reimbursement.

You will work during US Eastern Time business hours, coordinate with in-house staff, and maintain accurate documentation while adapting to increasing workload in a virtual setting.

Qualifications

• Experience in medical billing or insurance claim processing.
• Familiarity with EHR systems.
• Strong attention to detail and paperwork management.
• Excellent organizational and time management abilities.
• Understanding of insurance policies and procedures.
• Adaptability to handle increasing workload.
• Ability to work independently in a virtual setting.

Responsibilities

• Submit and process insurance claims using the AdvancedMD system.
• Handle complex appeals, especially for providers like Cigna.
• Manage charge submissions and claim follow-ups.
• Contribute to insurance program expansion and improvement.
• Respond promptly to insurance-related inquiries.
• Collaborate with in-house staff to optimize processes.

Skills

Medical billing

Insurance claim processing

EHR systems

Attention to detail

Organizational skills

Time management

Independent remote work

Tools

AdvancedMD

Job description

BruntWork is seeking a Back Office Insurance Support Specialist to streamline insurance operations for a healthcare organization. This full-time remote role handles medical claims submission, complex appeals, payment postings, and follow-ups using AdvancedMD, ensuring timely reimbursement.

You will work during US Eastern Time business hours, coordinate with in-house staff, and maintain accurate documentation while adapting to increasing workload in a virtual setting.