4 Insurance Claim Processes jobs in the Philippines

Join Our Growing Team at Cliniqon

Make a real impact in a company that values your expertise and rewards your dedication.

If you're passionate about the details, know your way around dental billing like a pro, and want to grow with a company that truly values your work—you could be exactly who we're looking for.

Responsibilities:

• Accurately review and submit dental insurance claims using correct CDT codes and required documentation
• Post insurance and patient payments—including EOBs, EFTs, and paper checks
• Investigate and resolve claim issues such as denials, underpayments, and coordination of benefits
• Follow up with insurance providers on unpaid or rejected claims
• Keep clean, up-to-date records of claim statuses, payment activity, and adjustments
• Work closely with front office, billing, and clinical teams to ensure accurate coding and documentation
• Generate reports on claims aging, payment trends, and outstanding balances

Requirements:

• Strong knowledge of dental billing procedures, CDT coding, and insurance guidelines
• Experience with dental practice management software (Dentrix preferred )
• Incredible attention to detail and organizational skills
• Excellent communication and problem-solving abilities
• Familiarity with HIPAA and dental compliance standards
• Ready to start on ASAP

Benefits:

• Permanent Work-from-Home
• Retention & Performance Bonuses
• HMO Coverage
• Company-Provided Equipment
• Career Growth Opportunities
• Supportive and collaborative team culture

Apply Now

Send your resume to and take the next exciting step in your dental career.

At Cliniqon, your skills matter. Your work matters. You matter.

We can't wait to meet you

Job Type: Full-time

Benefits:

• Flexible schedule
• Health insurance
• Life insurance
• Opportunities for promotion
• Paid training
• Pay raise
• Work from home

Application Question(s):

• Have you worked with dental practice management software such as Dentrix?
• Do you have experience posting payments from EOBs, EFTs, and checks?
• Are you comfortable resolving claim denials and underpayments?
• Are you amenable to start on ASAP?

Work Location: Remote

Review and evaluate data on claim forms and supporting documents.

Process for payment on- and off-island medical, dental, and pharmacy claims.

Review and verify authorized charges on claim statements.

Prepare correspondence to providers regarding billing issues and benefit coverage.

Handle data entry of medical, dental and pharmacy claims into the computer for processing.

Re-evaluate evidence and obtain additional information in connection with claims pended, denied or under appeal.

Ensure that all claims and payments are reconciled.

Coordinate daily activities, including handling of complaints, with various departments such as enrollment and customer care.

Ensure participation to various company programs, activities and committees, such as but not limited to training and development programs, collegial planning, collaborative ad-hoc projects, and other company-sponsored events, as necessary.

Adhere to all set Organization policies, procedures and standards, and promote culture of compliance and continuous improvement among the existing manpower pool.

Adhere to all policies, procedures and standards set by the company, and help promote the culture of compliance and continuous improvement within the Organization.

Perform job functions consistent with the company's vision and mission statements, and core values.

Perform other duties, roles and responsibilities analogous, related, similar, germane and/or implied to the above-mentioned.

Requirements:

• Doctor of Dental Medicine, or Bachelor's Degree in Nursing, Pharmacy or any allied medical fields
• Computer literate, preferably with working knowledge in using MS Office Suite (Word, Excel, PPT, etc.)
• Knowledge on basic medical terminology and claims procedures
• Ability to solve basic claim issues and concerns
• Basic business communication skills
• Knowledge of basic accounting principles

BGC, Taguig | On-site | Blended Ops (Voice + Back Office)

Full-time | ₱25,000 – ₱0,000 + ,000 Sign-On Bonus

Target Start Date: September 1

Join a leading healthcare account where your expertise in claims processing and customer support will make a real impact. We're offering not only a competitive salary package but also a ,000 sign-on bonus to welcome you aboard

What You'll Do

• Handle claims processing tasks with accuracy and efficiency.
• Manage inbound and outbound calls, plus back-office responsibilities.
• Provide exceptional care and support to healthcare customers.
• Ensure timely and proper resolution of cases in line with compliance standards.

What We're Looking For

• Minimum Education: High School Graduate (SHS & College graduates welcome).
• Experience:
• At least 18 months of BPO international voice experience.
• Claims processing / Care management background is a big plus.
• Comfortable with voice + back-office tasks.
• Strong communication skills and keen attention to detail.

Compensation & Benefits

• Salary Package: ,000 – ₱4 00 (depending on experience).
• ,000 Sign-On Bonus
• Safe offer benchmark: +18% of your current salary.
• 20% Night Differential
• HMO coverage after 6 months (for you and your dependents).
• Walk-in applications accepted in BGC, Taguig.

Additional Details

• Location: BGC, Taguig (on-site).
• Operations Type: Blended (back-office + inbound/outbound calls).
• Schedule: Night shift.
• Start Date: September 1.

Job Types: Full-time, Permanent

Pay: Php25, Php40,000.00 per month

Benefits:

• Additional leave
• Company Christmas gift
• Health insurance
• Life insurance
• Opportunities for promotion
• Paid training
• Promotion to permanent employee

Experience:

• BPO: 1 year (Required)

Work Location: In person