13 Medical Claims jobs in the Philippines
Medical Billing Claims
National Capital Region, National Capital Region
WHR Global Consulting
Posted 20 days ago
Job Viewed
Job Description
Qualifications:
br>-Minimum of 1 year of experience in medical billing, insurance claims, or a related field.
-Must have at least 6 months of BPO experience handling healthcare accounts
-Strong English proficiency, both verbal and written.
-Familiarity with healthcare regulations and industry guidelines.
-Excellent communication skills with the ability to make outbound calls to insurance companies and payors.
-Detail-oriented and able to maintain accurate records.
-Ability to work independently while adhering to internal guidelines and procedures.
-Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus.
-Willing to start ASAP
-
Key Responsibilities:
-
1. Outbound Calling:
Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details.
Conduct all calls in full compliance with the Client's guidelines and applicable healthcare regulations.
Maintain professionalism and ensure clear communication during each call.
-
2. Data Categorization and Labeling:
Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client.
Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis.
Deliver categorized data in periodic reports or through the portal developed by client, following the requested format and frequency.
-
3. Call Transcript Analysis:
Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns.
Compile findings into periodic reports, providing valuable information to the Client to support process improvements and optimize workflows.
-
Salary : 33,000 / Sign bonus
Work Location : Alabang / Onsite
br>-Minimum of 1 year of experience in medical billing, insurance claims, or a related field.
-Must have at least 6 months of BPO experience handling healthcare accounts
-Strong English proficiency, both verbal and written.
-Familiarity with healthcare regulations and industry guidelines.
-Excellent communication skills with the ability to make outbound calls to insurance companies and payors.
-Detail-oriented and able to maintain accurate records.
-Ability to work independently while adhering to internal guidelines and procedures.
-Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus.
-Willing to start ASAP
-
Key Responsibilities:
-
1. Outbound Calling:
Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details.
Conduct all calls in full compliance with the Client's guidelines and applicable healthcare regulations.
Maintain professionalism and ensure clear communication during each call.
-
2. Data Categorization and Labeling:
Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client.
Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis.
Deliver categorized data in periodic reports or through the portal developed by client, following the requested format and frequency.
-
3. Call Transcript Analysis:
Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns.
Compile findings into periodic reports, providing valuable information to the Client to support process improvements and optimize workflows.
-
Salary : 33,000 / Sign bonus
Work Location : Alabang / Onsite
This advertiser has chosen not to accept applicants from your region.
0
Medical Billing Claims Specialist
National Capital Region, National Capital Region
WHR Global Consulting
Posted 1 day ago
Job Viewed
Job Description
POSITION TITLE: Medical Billing and Insurance Claims Specialist
WORK LOCATION: Alabang, Muntinlupa br> WORK SETUP: Onsite
WORK SCHEDULE: Night Shift
QUALIFICATIONS
-Minimum of 1 year of experience in medical billing, insurance claims, or a related field
-Must have at least 6 months of BPO experience handling healthcare accounts
-Strong English proficiency, both verbal and written
-Familiarity with healthcare regulations and industry guidelines
-Excellent communication skills with the ability to make outbound calls to insurance companies and payors
-Detail-oriented and able to maintain accurate records
-Ability to work independently while adhering to internal guidelines and procedures
-Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus
-Willing to start ASAP
RESPONSIBILITIES/DUTIES
-Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details
-Conduct all calls in full compliance with the client’s guidelines and applicable healthcare regulations < r> -Maintain professionalism and ensure clear communication during each call
-Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client
-Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis
-Deliver categorized data in periodic reports or through the client’s portal, following the requested format and frequency < r> -Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns
-Compile findings into periodic reports, providing valuable information to support process improvements and optimize workflows
WORK LOCATION: Alabang, Muntinlupa br> WORK SETUP: Onsite
WORK SCHEDULE: Night Shift
QUALIFICATIONS
-Minimum of 1 year of experience in medical billing, insurance claims, or a related field
-Must have at least 6 months of BPO experience handling healthcare accounts
-Strong English proficiency, both verbal and written
-Familiarity with healthcare regulations and industry guidelines
-Excellent communication skills with the ability to make outbound calls to insurance companies and payors
-Detail-oriented and able to maintain accurate records
-Ability to work independently while adhering to internal guidelines and procedures
-Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus
-Willing to start ASAP
RESPONSIBILITIES/DUTIES
-Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details
-Conduct all calls in full compliance with the client’s guidelines and applicable healthcare regulations < r> -Maintain professionalism and ensure clear communication during each call
-Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client
-Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis
-Deliver categorized data in periodic reports or through the client’s portal, following the requested format and frequency < r> -Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns
-Compile findings into periodic reports, providing valuable information to support process improvements and optimize workflows
This advertiser has chosen not to accept applicants from your region.
1
Medical Billing Claims Specialist
National Capital Region, National Capital Region
WHR Global Consulting
Posted 1 day ago
Job Viewed
Job Description
POSITION TITLE: Medical Billing and Insurance Claims Specialist
WORK LOCATION: Alabang, Muntinlupa br> WORK SETUP: Onsite
WORK SCHEDULE: Night Shift
QUALIFICATIONS
-Minimum of 1 year of experience in medical billing, insurance claims, or a related field
-Must have at least 6 months of BPO experience handling healthcare accounts
-Strong English proficiency, both verbal and written
-Familiarity with healthcare regulations and industry guidelines
-Excellent communication skills with the ability to make outbound calls to insurance companies and payors
-Detail-oriented and able to maintain accurate records
-Ability to work independently while adhering to internal guidelines and procedures
-Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus
-Willing to start ASAP
RESPONSIBILITIES/DUTIES
-Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details
-Conduct all calls in full compliance with the client’s guidelines and applicable healthcare regulations < r> -Maintain professionalism and ensure clear communication during each call
-Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client
-Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis
-Deliver categorized data in periodic reports or through the client’s portal, following the requested format and frequency < r> -Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns
-Compile findings into periodic reports, providing valuable information to support process improvements and optimize workflows
WORK LOCATION: Alabang, Muntinlupa br> WORK SETUP: Onsite
WORK SCHEDULE: Night Shift
QUALIFICATIONS
-Minimum of 1 year of experience in medical billing, insurance claims, or a related field
-Must have at least 6 months of BPO experience handling healthcare accounts
-Strong English proficiency, both verbal and written
-Familiarity with healthcare regulations and industry guidelines
-Excellent communication skills with the ability to make outbound calls to insurance companies and payors
-Detail-oriented and able to maintain accurate records
-Ability to work independently while adhering to internal guidelines and procedures
-Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus
-Willing to start ASAP
RESPONSIBILITIES/DUTIES
-Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details
-Conduct all calls in full compliance with the client’s guidelines and applicable healthcare regulations < r> -Maintain professionalism and ensure clear communication during each call
-Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client
-Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis
-Deliver categorized data in periodic reports or through the client’s portal, following the requested format and frequency < r> -Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns
-Compile findings into periodic reports, providing valuable information to support process improvements and optimize workflows
This advertiser has chosen not to accept applicants from your region.
2
Medical Billing Claims Specialist
National Capital Region, National Capital Region
WHR Global Consulting
Posted 1 day ago
Job Viewed
Job Description
POSITION TITLE: Medical Billing and Insurance Claims Specialist
WORK LOCATION: Alabang, Muntinlupa br> WORK SETUP: Onsite
WORK SCHEDULE: Night Shift
QUALIFICATIONS
-Minimum of 1 year of experience in medical billing, insurance claims, or a related field
-Must have at least 6 months of BPO experience handling healthcare accounts
-Strong English proficiency, both verbal and written
-Familiarity with healthcare regulations and industry guidelines
-Excellent communication skills with the ability to make outbound calls to insurance companies and payors
-Detail-oriented and able to maintain accurate records
-Ability to work independently while adhering to internal guidelines and procedures
-Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus
-Willing to start ASAP
RESPONSIBILITIES/DUTIES
-Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details
-Conduct all calls in full compliance with the client’s guidelines and applicable healthcare regulations < r> -Maintain professionalism and ensure clear communication during each call
-Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client
-Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis
-Deliver categorized data in periodic reports or through the client’s portal, following the requested format and frequency < r> -Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns
-Compile findings into periodic reports, providing valuable information to support process improvements and optimize workflows
WORK LOCATION: Alabang, Muntinlupa br> WORK SETUP: Onsite
WORK SCHEDULE: Night Shift
QUALIFICATIONS
-Minimum of 1 year of experience in medical billing, insurance claims, or a related field
-Must have at least 6 months of BPO experience handling healthcare accounts
-Strong English proficiency, both verbal and written
-Familiarity with healthcare regulations and industry guidelines
-Excellent communication skills with the ability to make outbound calls to insurance companies and payors
-Detail-oriented and able to maintain accurate records
-Ability to work independently while adhering to internal guidelines and procedures
-Proficiency in Microsoft Office Suite or similar software; experience with medical billing software is a plus
-Willing to start ASAP
RESPONSIBILITIES/DUTIES
-Make outbound calls to insurance companies and payors to collect essential information, including claim statuses, denial reasons, and any additional relevant details
-Conduct all calls in full compliance with the client’s guidelines and applicable healthcare regulations < r> -Maintain professionalism and ensure clear communication during each call
-Accurately record, categorize, and label calls or information gathered using the taxonomy and definitions provided by the client
-Ensure all claim statuses and call outcomes are properly labeled for consistency in reporting and easy analysis
-Deliver categorized data in periodic reports or through the client’s portal, following the requested format and frequency < r> -Analyze recorded call transcripts to extract actionable insights, identifying trends, recurring denial reasons, and other patterns
-Compile findings into periodic reports, providing valuable information to support process improvements and optimize workflows
This advertiser has chosen not to accept applicants from your region.
3
Insurance / Claims Analysts - Start ASAP Cebu City
Cebu, Cebu
Staff Outsourcing Solutions
Posted 2 days ago
Job Viewed
Job Description
REQUIREMENTS:
br>Experience working as a representative of the providers or members line for queries in eligibility and benefits, claims, and authorizations.
Preferably with experience in inpatient or outpatient services.
Must know the basic insurance terms.
Knowledge in Medical Billing/Claims.
Experience in Revenue Cycle Management (or a part of) required.
The job will be a mix of insurance payment collections, reports generation and phone calls (only 10% calls, or maybe less!).
Basic knowledge in Word and Excel is required. Knowledge in Google sheet a plus.
JOB RESPONSIBILITIES:
- Follow-Up with Insurance Carriers via all mediums to determine reason for claims denial and work to resolve medical claims for payment.
- Research problem accounts to ensure accuracy
- Ability to resolve insurance denials and file appeals with government and commercial carriers.
- Analyze the unpaid medical claims and denials and identify/investigate the reasons for nonpayment and which action is needed to resolve timely.
- Adheres to applicable policies, hospital/physician billing/departmental practices and 3rd party requirements.
- Denial Management--analyzing and resolving denied claims. Investigate the reasons for denials, identify errors or discrepancies, and take corrective actions, such as submitting appeals
EXCITING PERKS for successful hires.
Earn 40k up to 65k per month
This is an office-based position located in Cebu Business Park.
Work hours will be US Eastern time. FIXED WEEKENDS OFF.
If you are interested please submit your updated resume to
STAFF OUTSOURCING SOLUTIONS
br>Experience working as a representative of the providers or members line for queries in eligibility and benefits, claims, and authorizations.
Preferably with experience in inpatient or outpatient services.
Must know the basic insurance terms.
Knowledge in Medical Billing/Claims.
Experience in Revenue Cycle Management (or a part of) required.
The job will be a mix of insurance payment collections, reports generation and phone calls (only 10% calls, or maybe less!).
Basic knowledge in Word and Excel is required. Knowledge in Google sheet a plus.
JOB RESPONSIBILITIES:
- Follow-Up with Insurance Carriers via all mediums to determine reason for claims denial and work to resolve medical claims for payment.
- Research problem accounts to ensure accuracy
- Ability to resolve insurance denials and file appeals with government and commercial carriers.
- Analyze the unpaid medical claims and denials and identify/investigate the reasons for nonpayment and which action is needed to resolve timely.
- Adheres to applicable policies, hospital/physician billing/departmental practices and 3rd party requirements.
- Denial Management--analyzing and resolving denied claims. Investigate the reasons for denials, identify errors or discrepancies, and take corrective actions, such as submitting appeals
EXCITING PERKS for successful hires.
Earn 40k up to 65k per month
This is an office-based position located in Cebu Business Park.
Work hours will be US Eastern time. FIXED WEEKENDS OFF.
If you are interested please submit your updated resume to
STAFF OUTSOURCING SOLUTIONS
This advertiser has chosen not to accept applicants from your region.
4
NY Independent Adjuster for Insurance Claims - Pasay City
Pasay, National Capital Region
TASQ Staffing Solutions
Posted 19 days ago
Job Viewed
Job Description
About the job: NY Adjuster—New York Independent Adjuster for Insurance Claims (Pasay) | Onsite
Shift: Mon-Fri, night shift (Shift starts anytime between 8:00 pm and 12:00 pm) br>
Work setup: Onsite (MOA Pasay)
Good-to-Haves:
Experience in L&A Insurance
Requirements:
Active NY Independent Adjuster License Series 17-63
The license should be active for at least 1 year and 6 months from the company join date
1-year claims adjudication work experience at the minimum
Educational Attainment:
Finished at least 2 years in college if new curriculum
College graduate if old curriculum
Shift: Mon-Fri, night shift (Shift starts anytime between 8:00 pm and 12:00 pm) br>
Work setup: Onsite (MOA Pasay)
Good-to-Haves:
Experience in L&A Insurance
Requirements:
Active NY Independent Adjuster License Series 17-63
The license should be active for at least 1 year and 6 months from the company join date
1-year claims adjudication work experience at the minimum
Educational Attainment:
Finished at least 2 years in college if new curriculum
College graduate if old curriculum
This advertiser has chosen not to accept applicants from your region.
5
NY Independent Adjuster for Insurance Claims - Cebu City
Cebu, Cebu
TASQ Staffing Solutions
Posted 19 days ago
Job Viewed
Job Description
About the job: NY Adjuster—New York Independent Adjuster for Insurance Claims (Cebu) | Onsite
Shift: Mon-Fri, night shift (Shift starts anytime between 8:00 pm and 12:00 pm) br>
Work setup: Onsite (Cebu)
Good-to-Haves:
Experience in L&A Insurance
Requirements:
Active NY Independent Adjuster License Series 17-63
The license should be active for at least 1 year & 6 months from the company join date
1-year claims adjudication work experience at the minimum
Educational Attainment:
Finished at least 2 years in college if new curriculum
College graduate if old curriculum
Shift: Mon-Fri, night shift (Shift starts anytime between 8:00 pm and 12:00 pm) br>
Work setup: Onsite (Cebu)
Good-to-Haves:
Experience in L&A Insurance
Requirements:
Active NY Independent Adjuster License Series 17-63
The license should be active for at least 1 year & 6 months from the company join date
1-year claims adjudication work experience at the minimum
Educational Attainment:
Finished at least 2 years in college if new curriculum
College graduate if old curriculum
This advertiser has chosen not to accept applicants from your region.
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6
Insurance and Claims Coordinator
Pasig City, National Capital Region
Fibernet Kosntrukt Corp
Posted 25 days ago
Job Viewed
Job Description
Role and Responsibilities
br>1. Responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of insurance claims
2. Liaises with concerned parties to gather all pertinent documents for processing of claims
3. Reviews the status and eligibility of claims and makes recommendations for resolutions as needed.
4. Proactively coordinate the processing of insurance claims
Qualifications and Education
1. Bachelor’s degree in Engineering, Accounting, or Business Management. < r>
2. With experience handling insurance claims such as CARI
3. With relevant experience in liaison and coordination regarding insurances and claims
4. Excellent communication and documentation skills
br>1. Responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of insurance claims
2. Liaises with concerned parties to gather all pertinent documents for processing of claims
3. Reviews the status and eligibility of claims and makes recommendations for resolutions as needed.
4. Proactively coordinate the processing of insurance claims
Qualifications and Education
1. Bachelor’s degree in Engineering, Accounting, or Business Management. < r>
2. With experience handling insurance claims such as CARI
3. With relevant experience in liaison and coordination regarding insurances and claims
4. Excellent communication and documentation skills
This advertiser has chosen not to accept applicants from your region.
7
NY Adjuster - New York Independent Adjuster for Insurance Claims (Cebu) | Onsite
Cebu, Cebu
TASQ Staffing Solutions
Posted 24 days ago
Job Viewed
Job Description
Shift: Mon-Fri, Nightshift (Shift starts anytime between 8:00 pm to 12:00 pm)
Work setup: Onsite (Cebu)
Requirements:
- Active NY Independent Adjuster License Series 17-63
- License should be active for at least 1 year & 6 months from the company join date
- 1-year claims adjudication work experience at the minimum
Educational Attainment:
- Finished at least 2 years in college if new curriculum
- College graduate if old curriculum
Good-to-Haves :
- Experience in L&A Insurance
This advertiser has chosen not to accept applicants from your region.
8
Claims Processor (Insurance)
Mandaluyong, National Capital Region
HR Network Inc.
Posted 1 day ago
Job Viewed
Job Description
Help ensure smooth and efficient processing of insurance claims. This role supports the claims team with documentation, investigation, and customer communication.
br>-Input and organize claim information accurately in the system
-Collect and file needed documents (e.g. receipts, medical reports)
-Help review claims for errors or missing info
-Assist with simple investigations or follow-ups
-Support in processing and settling claims
Qualifications:
-Graduate of any 4-year bachelor’s degree < r>-2 years of experience in Non-Motor Claims or insurance claims
-Background in administration or customer service is a plus
-Familiar with MS Office (Excel, Word) and claims software
-Organized, detail-oriented, and good at multitasking
-Strong communication and analytical skills
-A team player with a proactive attitude
-Amenable to work in Mandaluyong
br>-Input and organize claim information accurately in the system
-Collect and file needed documents (e.g. receipts, medical reports)
-Help review claims for errors or missing info
-Assist with simple investigations or follow-ups
-Support in processing and settling claims
Qualifications:
-Graduate of any 4-year bachelor’s degree < r>-2 years of experience in Non-Motor Claims or insurance claims
-Background in administration or customer service is a plus
-Familiar with MS Office (Excel, Word) and claims software
-Organized, detail-oriented, and good at multitasking
-Strong communication and analytical skills
-A team player with a proactive attitude
-Amenable to work in Mandaluyong
This advertiser has chosen not to accept applicants from your region.
9