555 Records Specialist jobs in the Philippines

We are looking for a highly motivated Records Specialist to join our team. This entry-level position is ideal for those starting their career in a dynamic, detail-oriented environment. The role involves processing and analyzing critical information, focusing on criminal background reports.

Responsibilities:

• Perform administrative tasks and data review from a workstation.
• Analyze data thoroughly and ensure accuracy.
• Manage and review criminal background reports.
• Compare information obtained with public records and other reliable sources.
• Identify and assess relevant data to generate accurate reports.
• Make informed decisions about disclosing criminal backgrounds based on established requirements.

Requirements:

Skills and Qualifications:

• Strong reading comprehension in English.
• Meticulous attention to detail.
• Ability to manage multiple tasks simultaneously in a deadline-driven environment.
• Comfort working with repetitive tasks while maintaining high levels of accuracy.
• Interest in crime and justice topics, similar to those seen in U.S. television programs.
• Excellent typing skills.
• Advanced knowledge of technological tools and data management systems.

Required Skills:

• Typing: 35+ words per minute (WPM).
• Microsoft Office: Intermediate level.
• Microsoft Outlook: Intermediate level.
• Basic PC skills.

Essential Functions:

· Files records daily in appropriate sections of patient charts and maintains charts in proper order.

· Maintains chronological order in placing reports in patient records.

· Copies patient information and forwards to requesting party/referring physician after receiving appropriate consent to release medical records

· Ensures medical record availability by routing records to appropriate staff. · Provides medical record information by answering questions and requests of patients, hospital staff, law firms, insurance companies, and government agencies.

· Maintains patient confidence and protects organization operations by keeping information confidential, following release-of-information protocols.

· Conserves resources by using equipment and supplies as needed to accomplish job results. · Contributes to team effort by accomplishing related results as needed. · Assists in care and maintenance of department equipment and supplies

Knowledge, Skills and Abilities

· Ability to organize and prioritize tasks effectively

· Strong attention to detail

· Ability to effectively communicate with patients and outside sources regarding records

· Knowledge in HIPAA law

· Ability to file correctly by alphabetic and numeric system

· Knowledge and experience in using office equipment including computers, EHR system, word, multi telephone systems, and photocopier

· Able to meet deadline requirements for different record requests

· Bilingual in Spanish is preferred

· Knowledge of medical terminology

Competencies/Personality Traits

● Fluent in English

● Ability to organize and prioritize tasks effectively

● Strong attention to detail

● Ability to effectively communicate with patients and outside sources regarding records

● Knowledge in HIPAA law

● Ability to file correctly by alphabetic and numeric system

● Knowledge and experience in using office equipment including computers, EHR system, word, multi telephone systems, and photocopier

● Able to meet deadline requirements for different record requests

● Bilingual in Spanish is preferred

● Knowledge of medical terminology

● With background in PARS

Prior Experience

· 1-3 years of experience in medical records

· 1-3 years of customer service experience

· Experience in general clerical preferred with some exposure to medical terminology.

· College Graduate of any other course.

Work Condition:

• Pure work onsite in Eastwood, Quezon City
• No Options for WFH.
• Nightshift Schedule

The Medical Records Specialist is responsible for analyzing claims eligible for arbitration. This individual should possess superior communication and computer skills including familiarity, Microsoft Outlook, Word and Excel. This individual will review, analyze and report reimbursement of integrity measures.

Job Overview:

Employment type: Full-time

Schedule: Night shift

Work setup: Onsite

Site Assignment: PNB Makati

Role Overview:

• Analyze claim reports to determine claims eligible for Arbitration for both ERISA/NSA claims as well as state insurance department claims
• Prepare claims for submission to the appropriate portals for arbitration
• Have the ability for re-prioritize key tasks and meet with manager and director to provide updates of findings and outcomes
• Work with external vendors such as State Department of Insurance (DOI) personnel and arbitrators to assist with issues and resolutions
• Complete special projects and other duties as assigned

Qualifications:

• Minimum of 1 year Medical Billing/Collections Management Experience
• Knowledge of laws that regulate communication and privacy acts. HIPAA laws and understanding of the application of all above
• Must maintain professional appearance.
• Ability to be at work on a regular and consistent basis
• Strong computer skills including Microsoft Office with a strong proficiency in Excel spread sheets, using formulas, pivot tables, filters, etc.
• Strong organizational, analytical, and problem-solving skills
• Knowledge of the insurance industry
• Proven success in negotiation and technical writing
• Professionalism in all dealings, both internal and external
• Ability to clearly communicate, both verbally and in writing
• Knowledge of medical terminology
• Other duties as assigned

Job Type: Full-time

Pay: Php28, Php30,000.00 per month

Benefits:

• Health insurance

Application Question(s):

• Do you have knowledge in HIPAA Regulations?
• How many years of experience do you have working in Healthcare Industry?
• Can you work on a Night Shift?
• Have you supported a US based client?
• Are you willing to work fully onsite in Makati?

Experience:

• Medical records: 1 year (Preferred)

Work Location: In person

The Opportunity: (Night Shift) Medical Records Specialist

As a Medical Records Specialist, you will manage and organize patient records for home health clients in the United States. Your responsibilities include ensuring accuracy, maintaining compliance with healthcare regulations, and providing essential information to healthcare professionals to support high-quality patient care.

What We're Looking For

• Bachelor's degree in Nursing, Pharmacy, Biology, Physical Therapy, Occupational Therapy, or other Allied Health courses with at least 1 year of clinical experience (fresh graduates and those without a professional license are welcome to apply)
• Strong analytical and problem-solving skills
• Healthcare BPO experience with familiarity in electronic medical records and Medicare home health guidelines is a plus
• Able to work independently and in a team
• Willing to work onsite (IT Park, Lahug)

What's In It for You?

Great Work-Life Balance: Fixed night-shift schedule (9PM – 6AM)

Competitive Benefits:

• Paid vacation and sick leave
• HMO coverage
• Performance and attendance bonuses

Fun & Collaborative Workplace:

• Team-building events, seminars, and training programs
• Employee engagement activities
• Referral rewards when you bring your friends onboard

Professional Growth & Support:

• Continuous application of your clinical knowledge
• Career advancement and skill development
• Supportive working environment where your contributions are valued

Job Type: Full-time

Benefits:

• Company Christmas gift
• Health insurance

Roles and Responsibilities:

• Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal
• Ensures timely review, processing, and response to appeal in accordance with State, Federal and NCQA standards
• Communicates with members, providers, facilities, and other departments regarding appeals requests
• Generates appropriate appeals resolution communication and reporting for the member and provider in accordance with company policies, State, Federal and NCQA standards
• Works with leadership to increase the consistency, efficiency, and appropriateness of responses of all appeals requests
• Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices
• Individuals have a well-rounded knowledge of the policies and procedures for appeals processing, specifically Medicare and medical necessity review.
• Uses sound judgment, especially in non-routine appeals, to make decisions to keep the appeal process moving forward in accordance with contractual timeliness standards
• Maintain files on individual appeals by gathering, analyzing and reporting verbal and written member and provider appeals.
• Review claim appeal for reconsideration and recommend approvals/denials based on determination level or prepare for medical review presentation.
• Prepare case recommendations for medical review as necessary.

Requirements:

• 2 - 4 years of experience in processing appeals or utilization management
• RN - Registered Nurse – State required Licensure and/or Compact State Licensure
• Knowledge of utilization management processes
• Knowledge of NCQA, Medicare and Medicaid regulations
• Good communication (Demonstrate strong reading comprehension and writing skills)
• Able to work independently, strong analytic skills

Required shift timings:

US daytime

Shape Healthcare Accuracy Through Organized Medical Documentation

In the hospital and healthcare industry, records are the heartbeat of care. Precision, confidentiality, and compliance matter with every entry. This role offers more than technical growth-it lets you strengthen your expertise while enjoying time for yourself. Build a meaningful career without putting your personal life on hold.

What You'll Do

Be part of our client's team as a Medical Records Specialist where you will ensure patient records are accurate, accessible, and compliant. You will support both healthcare providers and billing teams while upholding confidentiality and delivering excellent service.

Role Snapshot

Employment type: Full-time

Shift: Night shift

Work setup: Onsite, Makati

Why You'll Love This Role

• Day 1 HMO coverage with free dependent
• Competitive salary package
• Night differential pay to maximize your earnings
• Prime office location in Makati (easy access to MRT stations, restaurants, and banks)
• Salary Advance Program through our banking partner (eligibility and approval subject to bank assessment; available to account holders with minimum of 6 months company tenure)
• Unlimited upskilling through Emapta Academy courses
• Free 24/7 access to office gyms (Ortigas and Makati) with a free physical fitness trainer
• Exclusive Emapta Lifestyle perks (hotel and restaurant discounts, and more)
• Unlimited opportunities for employee referral incentives across the organization
• Standard government and Emapta benefits
• 20 annual leaves (5 credits convertible to cash)
• Fun engagement activities for employees
• Mentorship and exposure to global leaders and teams
• Career growth opportunities
• Diverse and supportive work environment

What It Takes to Succeed

• At least 6 months of related experience
• Basic knowledge of medical terminology
• Strong organizational and communication skills
• Detail-oriented with excellent data entry skills
• Superior customer service abilities
• Ability to manage multiple projects and timelines

How You'll Make a Difference

• Maintain master patient index by completing assigned portions of the daily audit trail; correct and communicate problems according to established procedures
• Initiate medical records by creating and processing patient care record folders
• Maintain record availability by processing charts in the department, using chart mark-off procedures, and facilitating chart location activities
• Inform healthcare providers of the availability or unavailability of records
• Request, upload, and log medical records
• Assist the billing department with requests for medical records
• Review records for completeness, accuracy, and regulatory compliance
• Prepare medical records for submission to insurance
• Maintain continuity of work operations by documenting and communicating actions, irregularities, and continuing needs
• Follow HIPAA policies and procedures to ensure the security of protected health information
• Perform other duties as assigned

Get to Know the Client

Our client is an innovative and trusted leader in healthcare revenue cycle management and independent dispute resolution. With over 50 years of combined experience, they specialize in helping out-of-network providers secure prompt and fair reimbursements. Leveraging advanced technology, in-depth knowledge of the No Surprises Act, and expertise in balance billing laws, they empower healthcare providers to achieve sustainability while improving patient outcomes. They are committed to innovation, integrity, and empowering healthcare professionals worldwide.

Welcome to Emapta Philippines

Join a team that values camaraderie, excellence, and growth. Recognized as one of the Top 20 Dream Companies of Filipinos in 2024, Emapta stands proudly alongside industry giants, offering stability and exciting career opportunities. Your career flourishes here with competitive compensation, international clients, and a work culture focused on collaboration and innovation. Work with global clients across industries, supported by a stable foundation and like-minded professionals passionate about making an impact. We empower your success with opportunities for personal and professional development in an inclusive environment. Apply now and be part of the #EmaptaEra

The Opportunity: (Night Shift) Medical Records Specialist

As a Medical Records Specialist, you will manage and organize patient records for home health clients in the United States. Your responsibilities include ensuring accuracy, maintaining compliance with healthcare regulations, and providing essential information to healthcare professionals to support high-quality patient care.

What We're Looking For

• Bachelor's degree in Nursing, Pharmacy, Biology, Physical Therapy, Occupational Therapy, or other Allied Health courses with at least 1 year of clinical experience (fresh graduates and those without a professional license are welcome to apply)
• Strong analytical and problem-solving skills
• Healthcare BPO experience with familiarity in electronic medical records and Medicare home health guidelines is a plus
• Able to work independently and in a team
• Willing to work onsite (IT Park, Lahug)

What's In It for You?

Great Work-Life Balance: Fixed night-shift schedule (9PM – 6AM)

Competitive Benefits:

• Paid vacation and sick leave
• HMO coverage
• Performance and attendance bonuses

Fun & Collaborative Workplace:

• Team-building events, seminars, and training programs
• Employee engagement activities
• Referral rewards when you bring your friends onboard

Professional Growth & Support:

• Continuous application of your clinical knowledge
• Career advancement and skill development
• Supportive working environment where your contributions are valued

Our client is looking for a Public Records Specialist who will serve as an extension of our team researching select databases for public records.

This position requires high attention to detail, accuracy, and efficiency. We need team members with integrity and dependability. This position handles extremely sensitive information and an ethical disposition is required.

Responsibilities:

• Perform public record searches via select databases and county court sites
• Follow policies, procedures, and assigned workflows set by the VP of Compliance
• Sort public records to determine which we are able to report to our clients
• Understand and apply guidelines in search criteria
• Analyze data appropriately while following strictly regulated procedures and quality standards
• Learn and retain complex information and how to apply it to specific job situations
• Communicate and provide support in a team-based environment, both within your team and across multiple teams
• Interfacing with clients/applicants as needed

Requirements:

At least a year of experience in an office setting

Navigate between multiple windows/browsers with ease, perform extensive internet research, and type 45 WPM

Working knowledge of G-Suite and Microsoft Office products

Ability to gain extensive knowledge of the criminal justice system and how it relates to the information we obtain

MUST be amenable to work in US Timezone

Minimum Technical and Work Environment Requirements:

• Internet Connection:
• Primary internet connection with a minimum speed of 15 Mbps.
• Backup internet connection with at least 10 Mbps.
• Backup connection must be capable of supporting work during a power outage.
• Primary Device:
• Desktop or laptop equipped with at least:
• Intel Core i5 (8th generation or newer), Intel Core i3 (10th generation or newer), AMD Ryzen 5, or an equivalent processor.
• A minimum of 8 GB RAM.
• Backup Device:
• Must meet or exceed the performance of an Intel Core i3 processor.
• Must be functional during power interruptions.
• Peripherals and Workspace:
• A functioning webcam.
• A noise-canceling USB headset.
• A quiet, dedicated home office space.
• A smartphone for communication and verification purposes.

Benefits:

• Join Our Dynamic Team: Experience our fun, inclusive, innovative culture that values your unique contributions and supports your professional growth.
• Embrace the Opportunities: Seize daily chances to learn, innovate, and excel. Make a real impact in your field.
• Limitless Career Growth: Unlock a world of possibilities and resources to propel your career forward.
• Fast-Paced Thrills: Thrive in a high-energy, engaging atmosphere. Embrace challenges and reap stimulating rewards.
• Flexibility, Your Way: Embrace the freedom to work from home or any location of your choice. Create your ideal work environment.
• Work-Life Balance at Its Best: Say goodbye to stressful commutes and hello to quality time with loved ones. Achieve a healthy work-life integration to perform at your best.

Key Responsibilities:

• Manage and maintain electronic patient medical records, ensuring accuracy, completeness, and confidentiality.
• Review and process incoming medical records, including patient histories, test results, consultation notes, and treatment plans.
• Index and code medical records according to established protocols, making them easily accessible for healthcare providers and administrative staff.
• Ensure compliance with medical record regulations, privacy laws, and data security guidelines, including Health Insurance Portability and Accountability Act (HIPAA) standards.
• Retrieve and prepare medical records for patient appointments, referrals, and audits, ensuring timely availability of information.
• Collaborate with medical staff, billing teams, and administrative personnel to facilitate smooth medical record management processes.
• Assist in the release of medical records to authorized individuals, institutions, and legal entities while adhering to proper procedures.
• Maintain electronic health record (EHR) systems, ensuring accurate data entry and record updates.
• Contribute to improving medical record management processes and enhancing data accuracy.

Qualifications:

• BS degree in Pharmacy or graduate of any Health allied course, healthcare administration, or related fields is preferred.
• Familiarity with using electronic health record (EHR) systems, medical office software, and office applications.
• Strong understanding of medical record regulations, data privacy laws, and confidentiality standards.
• Excellent organizational skills to manage medical records efficiently and maintain data integrity.
• Strong written and verbal communication skills for effective interactions with medical staff and administrative teams.

Experience:

• Minimum of 1 year(s ) of experience in medical record management, medical office administration, or a related role. (preferred but not mandatory)
• Fresh graduates are welcome to apply.
• Familiarity with medical coding systems (ICD-10, CPT) is advantageous.