90 Denials Management jobs in the Philippines

Location
: Remote

Department:
Billing

Reports To:
Denial Billing Team Lad

Salary:
35, ,000 php

About Us:
RML-PH is a dynamic and innovative Health Solutions and Care Delivery Organization committed to transforming the healthcare landscape. With a mission to provide accessible, high-quality healthcare services and cutting-edge solutions, RML-PH focuses on holistic patient care and embraces the latest advancements in health technology. Our team is dedicated to providing top-tier customer care, leveraging expertise and technology to exceed expectations. Join us at RML-PH to be part of a dynamic team committed to delivering excellence in healthcare customer service.

Position Summary:
The Billing Denials Management Specialist plays a critical role in the revenue cycle by investigating, resolving, and preventing insurance claim denials. This position is responsible for analyzing rejected claims to identify root causes, developing and implementing corrective action plans, and creating sustainable processes to reduce future denials. The specialist will work closely with the billing team, coders, and payers to ensure that claims are processed accurately and efficiently, maximizing reimbursement and maintaining financial health.

Key Responsibilities:

• Investigate and resolve all assigned insurance claim denials in a timely and efficient manner
• Analyze denial trends to identify root causes and patterns by payer, provider, or service type
• Develop, document, and implement standard operating procedures for resolving common denial reasons
• Prepare and submit compelling appeals to insurance companies with all necessary documentation
• Collaborate with the coding team and clinical staff to obtain corrected information or documentation for claim resubmission
• Track and report on denial statuses, recovery rates, and the financial impact of denial trends
• Maintain up-to-date knowledge of payer policies, billing regulations, and industry standards related to medical billing and denials
• Perform other duties as assigned related to revenue cycle management

Qualifications:

• Minimum of 3 years of experience in a medical billing role with a focus on denials management, appeals, and collections
• High school diploma or equivalent required; Associate's degree or relevant certification is a plus
• Proven track record of successfully appealing and recovering denied claims
• Experience in a laboratory or similar outpatient setting is highly preferred
• Familiarity with HIPAA regulations, the False Claims Act, and other healthcare compliance standards

Benefits:

• Paid leave: Sick, Annual, Public holidays.
• New Hires begin as independent contractors for the first 6 months before they are eligible for a review for full-time employment

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We are hiring outpatient medical coders who are ready to advance their careers by training in inpatient medical coding through our Coding University.

What's in it for you?

• We have a team of highly experienced and skilled professionals to help and provide you with comprehensive training and grow a promising career in the Medical Coding field. Our goal is to help you pass and earn your Medical Coding certification (CIC) through our Coding University.

Qualifications:

• AHIMA/ AAPC certification for Outpatient Medical Coding (e.g., COC, CPC,CCS)
• Amenable to work onsite in BGC Taguig (Dayshift, Weekends Off)

About Us:

We are a growing telehealth company dedicated to delivering accessible, high-quality healthcare to

patients across the country. As part of our mission, we ensure that every visit is coded accurately for

insurance purposes, enabling smooth operations and timely reimbursements. We're now seeking a

skilled Medical Coding Specialist to join our team and play a vital role in our success.

Position Overview:

The Medical Coding Specialist will be responsible for accurately coding patient visits for insurance

purposes, specifically in the telehealth space. This role requires strong attention to detail, up-to-date

knowledge of medical coding standards, and excellent English communication skills for collaboration

with both the clinical and administrative teams.

Key Responsibilities:

• Review telehealth visit documentation to assign accurate CPT, ICD-10, and HCPCS codes.
• Ensure compliance with all federal, state, and payer-specific guidelines.
• Work closely with providers to clarify documentation and coding requirements.
• Submit accurate coding information for billing and insurance claims.
• Stay current on telehealth coding changes, regulations, and best practices.

Qualifications:

• Proven experience in medical coding, preferably in a telehealth setting.
• Certification in medical coding (CPC, CCS, or equivalent) strongly preferred.
• Strong knowledge of CPT, ICD-10, and HCPCS coding guidelines.
• Excellent English communication skills (written and verbal).
• High attention to detail, accuracy, and compliance standards.
• Ability to work independently and meet deadlines.

What We Offer:

• Full-time, remote position.
• Competitive salary based on experience.
• Opportunity to work with a mission-driven team in a fast-growing healthcare sector.
• Professional growth and ongoing training in telehealth coding.

We are looking for MEDICAL ALLIED GRADUATES to be part of our Medical Coding Academy

Our Medical Coding Academy is looking for motivated individuals to train and certify as Professional Medical Coders. No prior experience is required

Qualifications:

• Must be graduate of any of the following

BS Biology

BS Nursing

BS Pharmacy

BS Physical Therapy

BS Respiratory Therapy

BS Occupational Therapy

BS Radiologic Technology

BS Psychology

BS Medical Biology

BS Medical Laboratory

BS Medical Technology

BS Nutrition and Dietetics

Doctor of Medicine

• Must be willing to undergo medical coding training and certification sponsored by the company

• Must be willing to report onsite either Pasay or Taguig

Inpatient Medical Coder (Quezon City – Onsite)

Location: Quezon City

Work Setup: Onsite

Work Shift: To be discussed

Salary Range: Base Pay + R1 Allowance + Clinical Allowance

About the Role

We are looking for a detail-oriented and certified Inpatient Medical Coder to join our growing healthcare team. This role is critical in ensuring accurate review, coding, and submission of inpatient medical records to support proper reimbursement and compliance with healthcare standards.

Key Responsibilities

• Review patient medical records following hospital visits.
• Identify missing or incomplete information and ensure accurate documentation.
• Assign appropriate medical codes based on clinical documentation.
• Prepare and submit claim forms to insurers for reimbursement.
• Collaborate with healthcare providers to resolve documentation queries.

Qualifications

• Must be willing to work onsite in Quezon City.
• Active CIC or CCS certification is required.
• Bachelor's degree in Nursing or a related allied health field (advanced degrees or certifications are an advantage).
• Minimum of 2 years inpatient medical coding experience.
• Strong attention to detail and working knowledge of coding systems.

What We Offer

• Competitive Total Rewards Package
• Target Variable Incentives
• HMO Coverage from Day 1 (with free dependents)
• Life Insurance Coverage
• Paid Time-Off Benefits & Sick Leave Conversion
• Night Differential Pay
• Employee Referral Program
• All Mandatory Statutory Benefits

Join us and play a vital role in ensuring accurate clinical documentation and supporting healthcare operations.

Job Type: Full-time

Application Question(s):

*

1. Years of experience as Inpatient Medical Coder
2. Do you have a Medical Coding License (CIC or CCS)?
3. Are you a Registered Nurse?
4. Amenable with the shift? (day shift)
5. Amenable to work onsite?
6. Amenable with the location (Cubao)
7. Current Salary:
8. Expected Salary:
9. Reason for leaving current company:
10. Availability to start:
11. Availability for virtual interview:
12. Active Viber number:
13. Full name (First Name, Middle Name, Surname)

Work Location: In person

Position Summary

TheMedical Coding Specialist ensures charges are coded appropriately from the medical record as necessary and are entered into the billing system accurately.

Job Details:

• Work from Home
• Monday to Friday | 7:00 PM to 4:00 AM Manila Time
• *US Holidays will be followed

Responsibilities:

• Analyze patient charts carefully to know the diagnosis and represent every item with specific codes.
• Collect health information as documented by medical specialists and code them appropriately.
• Consult medical specialists for further clarification and understanding of items on patient charts to avoid any misinterpretations.
• Ensure that codes tally with doctors' diagnosis.
• Evaluate and re-file appeals of patient claims that were denied.
• Be updated about new coding rules as codes change from time to time.
• Collect and distribute coding-related information and billing issues.
• Provide accurate answers to queries on coding.
• Other duties as assigned by management.

Qualifications:

• Must have at least 3-5 years of billing and/or coding experience in a medical environment.
• Comprehensive knowledge of insurance plans, member eligibility, insurance billing, and medical coding.
• Strong background in both government and commercial payers.
• Understanding of CPT, ICD-10, UB, HCFA, and 837 terminologies.
• Excellent interpersonal and customer service skills.
• Detail-oriented.
• Strong problem-solving and research skills.
• Excellent math, verbal, and communication skills.
• Computer proficiency.

Clinical Skills University (CSU) Trainee – Medical Coding

Location: Quezon City

Work Setup: Onsite

Shift: Day Shift

About the Program

The Clinical Skills University (CSU) program is a structured training and upskilling initiative for certified medical coders. This program provides the opportunity to expand your coding expertise by transitioning from Profee, Emergency Department (ED), and Obstetrics (OBS) coding to more complex Inpatient (IP) and Same Day Surgery (SDS) coding.

Qualifications

• Philippine Registered Nurse (PHRN)
• Active CPC, COC, CIC, CCS, CCS-P, or CPC-A certification
• At least 1 year of experience in Multispecialty Profee, ED, or OBS coding

OR

• At least 6 months of experience in Inpatient (IP) or Outpatient (SDS) coding

What We Offer

• Competitive Total Rewards Package
• Target variable incentives
• HMO from Day 1 of employment (with free dependents)
• Life Insurance Coverage
• Paid Time-Off Benefits
• Sick Leave Conversion
• Night Differential Pay
• Employee Referral Program
• Full statutory benefits

Apply now and advance your career as a Medical Coding Specialist with our CSU program

Job Type: Full-time

Application Question(s):

*

1. Years of experience in Outpatient Coding:

2. Years of experience in Inpatient Coding:

3. Years of experience in Profee Coding:

4. Do you have a Medical Coding license (CPC, COC, CIC, CCS, CCS-P, CPC-A certification)?

5. Are you a Registered Nurse?

6. Amenable with the shift? (day shift)

7. Amenable to work onsite?

8. Amenable with the location (Cubao):

9. Current Salary:

10. Expected Salary:

11. Reason for leaving current company

12. Availability to start:

13. Availability for virtual interview:

14. Active Viber number:

15. Active email:

16. Full name (First Name, Middle Name, Surname):

Work Location: In person

We are Urgent hiring for certified medical coders to start on October 13, 2025, who are ready to advance their careers by training in inpatient medical coding through our Coding University. Our goal is to help you pass and earn your Medical Coding certification (CIC) through our Coding University.

• Must have an active Medical Coding Certificate (CPC, CCS, CRC, or COC)
• Willing to attend onsite training in BGC Taguig

• Competitive compensation plus allowance
• 20 Paid Time Off (PTO) per year
• Salary adjustment after the training (Based Performance)
• Annual Appraisal
• Annual Performance Based Incentive
• HMO plus FREE dependents
• Group life insurance

PHRN Medical Coder – Non-Voice (Onsite)

Location: Manila, Philippines

Work Setup: Onsite

Schedule: Monday to Friday | Night Shift | Shifting Schedule | Weekends Off

Employment Type: Full-Time

Duties and Responsibilities

Medical Coding & Documentation

• Assign ICD-10, CPT, HCPCS, and DRG codes based on medical records.
• Ensure accuracy of coded data for claims processing and billing.
• Review clinical documentation for completeness and compliance.

Quality & Compliance

• Maintain adherence to HIPAA, CMS, and other healthcare regulations.
• Stay updated with coding guidelines and best practices.
• Collaborate with providers to ensure accurate documentation.

Audit & Reporting

• Conduct coding audits and quality checks.
• Identify discrepancies and recommend corrective actions.

Qualifications

• Philippine Registered Nurse (PHRN) with 1–2 years of clinical experience (COE required).
• Any active coding certification (ICD-10, CPT, HCPCS) – Non-negotiable .
• Active PRC License (PHRN).
• Coding license preferred.
• Can accept candidates without coding license if with 2+ years experience in billing/coding.

Benefits

• HMO Coverage – Day 1 eligibility.
• Dependents Coverage – Up to 3 dependents after 6 months
• Competitive Compensation – with monthly performance incentives.
• Meal & Other Allowances.
• Medical & Dental Coverage – For employees and dependents.
• Career Growth Opportunities – Trainings and skills development.

Job Type: Full-time

Application Question(s):

• 1. What is the highest level of education you have completed?

• How many years of Staff Nurse/Clinical experience do you have?

• How many years of experience do you have in any of these? (ICD - 10, CPT, HCPCS):
• How many years of experience do you have with billing and coding:
• Are you willing to report onsite if needed?
• Active viber and phone number:
• Active email address:
• Where are you currently located:
• Kindly provide your PRC license number:
• Do you have a coding license? (if yes, kindly attach it to your resume)
• Do you have a coding certificate? (if yes, kindly attach it to your resume)
• Are you available to start as soon as possible?
• Kindly provide your full name (First name, Middle name, Last name)

Work Location: In person