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Cypress Health

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Insurance Claims Coordinator, US Healthcare (Bilingual English/Spanish) - Coordinador de Reclamos de Seguros Médicos EE.UU

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    Insurance Claims Coordinator, US Healthcare (Bilingual English/Spanish) - Coordinador de Reclamos de Seguros Médicos EE.UU

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Resumen

About Cypress.Health
Cypress.Health provides medical billing and revenue cycle support to US specialty physician practices in nephrology, hospital medicine, infectious disease, and cardiology. Our Peru team works directly with US account managers during US business hours.

The role
You will call US insurance companies on behalf of our clients to check claim status, resolve denials, and fix payment problems. You will support our US account managers with same-day urgent requests and with larger projects involving many claims or one specific payer or facility.

What you will do

Call insurance companies to check claim status and get resolution on unpaid or denied claims
Handle urgent same-day requests from US account managers
Work multi-claim projects, such as a denial pattern with one payer
Use payer portals (Availity and payer websites) to check eligibility, claims, and remittances
Call hospitals and facilities for missing information or records
Write clear notes in English summarizing each call: who you spoke with, reference number, outcome, next step
Track your open requests and follow up until resolved

What you need
- 1+ years calling US insurance companies for claims, AR follow-up, or provider services
- Strong spoken and written English
- Understanding of claim denials, appeals, timely filing, and corrected claims
- Comfortable handling several requests at once and prioritizing urgent work
- Reliable internet and a quiet work space [if remote]

Nice to have
- Experience with Medicare, Medicaid, or Medicare Advantage plans
- Familiarity with denial codes (CARC/RARC)
- Experience with practice management systems such as eClinicalWorks, athena, AdvancedMD, or Tebra
- Experience in nephrology or cardiology billing

What this is not
- Not a patient call center role; you will mainly speak with insurance companies and facilities
- Not a sales or collections role
- Not a scripted, high-volume inbound queue

Schedule and pay
Monday to Friday, 8-4 US CST time
Remote: Work-from-home
S/ 3000 per month

How to apply
Apply in English. In your application, describe one denied or unpaid claim you resolved: what the problem was and what you did to fix it.-Requerimientos- Educación mínima: Educación Secundaria
1 año de experiencia
Idiomas: Inglés
Palabras clave: aseguradora, seguros, residente, encargado, supervisor, subgerente, responsable, coordinador, gestor, capitan

Requerimientos
  • Tiempo de experiencia
    1 año
  • Disponibilidad para viajar
    No