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Philippines Registered Nurse - Voice Account
Posted 1 day ago
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The Philippine Registered Nurses (PHRNs) position is focused on delivering high-quality customer service and support in a voice-based capacity, primarily within a healthcare-related business process outsourcing (BPO) environment. This role requires strong communication skills, a solid foundation in nursing knowledge, and the ability to adapt to a fast-paced, client-facing setting. The position is based onsite in either IT Park, Cebu City, or Taguig, operating on a night shift schedule, and demands flexibility and professionalism to meet client expectations.
Key responsibilities include engaging with clients or customers via voice interactions, addressing inquiries, and providing accurate and timely support related to healthcare services or processes. You will leverage your nursing background to ensure responses are informed, professional, and aligned with client requirements. The role involves handling customer interactions with empathy and efficiency, resolving issues promptly, and maintaining a high standard of service quality. You will work collaboratively with team members to meet performance metrics and contribute to the overall success of the account.
The position is open to PHRN candidates with or without an active license, making it accessible to both experienced and entry-level professionals. No prior work experience is required, though candidates must demonstrate a commitment to the role and the ability to work effectively in a team-oriented environment. Strong verbal communication skills are essential, as the role involves direct interaction with clients or customers. Candidates must be able to work onsite in either Taguig or Cebu City, depending on their location, and be willing to adhere to a night shift schedule. The ability to maintain composure under pressure, adapt to changing priorities, and deliver consistent performance is critical.
Candidates should not have a history of frequent job changes (staying less than a year per company), as stability and commitment are highly valued. A nursing degree or equivalent qualification as a PHRN is required. The role offers an opportunity for nurses to apply their medical knowledge in a customer-facing, non-clinical setting, making it ideal for those seeking to transition into a BPO environment while utilizing their healthcare expertise.
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Medical Coder
Posted 1 day ago
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The Home Health Coding - Medical Coder role is a specialized position focused on reviewing patient medical records and assigning accurate codes to diagnoses and procedures to facilitate billing for insurance, third-party payers such as Medicare or Medicaid, and patients. This role requires a strong understanding of medical terminology, AMA guidelines, anatomy, physiology, and coding standards to ensure proper reimbursement. The position is remote, based in the Philippines, operates on an 11-hour night shift schedule for 4 days per week, and demands a high level of accuracy and productivity.
Key responsibilities include analyzing medical charts to assign appropriate CPT, ICD-9-CM, HCPCS, and special access codes based on medical documentation. You will associate diagnosis codes with corresponding procedure codes (CPT) and sequence them accurately to ensure proper reimbursement. The role involves determining the provider, entering information into the system, and applying coding requirements specific to various payers, clients, and state programs. You will ensure the number of charts in each batch matches the total received, maintain daily and monthly Management Information System (MIS) reports, and perform quality checks on coded documents to track errors and calculate accuracy.
Additional duties include conducting denial follow-ups and appeals when necessary and providing specialty training for experienced coders to enhance their skills. The role requires excellent written and oral communication skills to represent clients effectively, as well as proficiency in Microsoft Office Suite for documentation and reporting. Candidates must work independently, multitask efficiently, and demonstrate resourcefulness in addressing challenges.
To succeed, candidates must hold a Bachelor of Health Care Coding (BHCC-C) certificate and a Certified Professional Coder (CPC) certificate. A minimum of 1–3 years of experience in medical coding is required, with at least 1 year specifically in Home Health Coding, which is non-negotiable; candidates without this experience will be rejected. A bachelor’s degree in a science-related field or equivalent combination of education and experience is preferred. Candidates must demonstrate the ability to maintain high productivity and accuracy, work with minimal supervision, and adapt to a fast-paced environment. Experience in claims management or customer service is desirable. Candidates must reside in the Philippines, be eligible to work, and not have a history of frequent job changes (staying less than a year per company).
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Quality Analyst - Medical Coder
Posted 1 day ago
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The Quality Analyst - Medical Coder role is a specialized position focused on ensuring the accuracy and compliance of medical coding processes, with an emphasis on Evaluation and Management (E&M) coding for outpatient, inpatient, observation, and critical care facilities. This role requires a strong foundation in medical coding standards, exceptional attention to detail, and the ability to work independently while maintaining high-quality standards. The position is based onsite in Taguig, operating on a morning shift schedule, and requires adaptability to meet regulatory requirements and deadlines.
Key responsibilities include performing audits to verify the accuracy of ICD-10, CPT-4, HCPCS, and Modifier assignments, as well as reviewing claims that have been denied or rejected due to coding, documentation, or clinical validation issues. You will prepare detailed reports for management review, identifying trends and providing actionable insights. The role involves conducting focused retrospective audits and regular scheduled audits of individual coders to ensure compliance and accuracy. You will also manage audits conducted by internal and external entities, responding to requests for code verification promptly and accurately.
In collaboration with Coding Supervisors and the Coding Manager, you will contribute to the development of educational and training opportunities for staff, enhancing the team’s coding proficiency and adherence to best practices. The role requires clear written and verbal communication to present audit results, provide feedback, and maintain positive relationships with internal and external teams and customers. You will need to work independently with minimal supervision, meet deadlines, and adapt to frequent changes in regulations while maintaining a high level of professionalism.
To succeed, candidates must have a bachelor’s degree in a life sciences field such as Physiotherapy, Pharmacy, Nursing, or Biosciences, with Anatomy or Physiology as a subject. A minimum of 3 years of experience in E&M inpatient and/or outpatient medical record review, coding, and reimbursement is required, with coding audit experience preferred. Candidates must hold a Certified Professional Coder (CPC) credential from the American Academy of Professional Coders (AAPC) or a Certified Coding Specialist (CCS) credential from the American Health Information Management Association (AHIMA) prior to hire. Additional certifications such as RHIA or RHIT are preferred but not mandatory.
Strong knowledge of ICD-10-CM/PCS and CPT coding, as well as prospective payment systems, is essential, along with proficiency in Microsoft Windows operating systems and Office applications (Word, Excel, PowerPoint). Candidates must demonstrate the ability to generate clear reports, work independently, and maintain productive relationships with stakeholders. Candidates should not have a history of frequent job changes (staying less than a year per company) and must be willing to work onsite in Taguig and attend an onsite assessment.
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Team Lead - ED and Surgery Coding
Posted 1 day ago
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The Team Lead - ED / Surgery Coding role is a leadership position focused on overseeing the daily operations of a medical coding and auditing team specializing in Emergency Department (ED) Facility, Surgery, and Observation Coding. This role requires a combination of technical expertise in medical coding, strong leadership skills, and the ability to drive team performance to meet client expectations. The position is based onsite in Taguig, operating on a day shift schedule, and demands a proactive approach to managing workflows, ensuring quality, and fostering continuous improvement.
Key responsibilities include managing the coding and auditing team’s daily operations to ensure smooth workflow and high-quality service delivery. You will ensure the team consistently achieves 100% productivity and quality targets aligned with client requirements. The role involves analyzing workload, attendance, and attrition trends to optimize team utilization and maintain operational efficiency. You will proactively identify performance gaps through data analysis and implement corrective actions to drive continuous improvement, ensuring the team meets or exceeds performance metrics.
The role requires close collaboration with team members and stakeholders to address coding challenges, provide guidance, and maintain compliance with industry standards. You will monitor team performance, provide feedback, and implement strategies to enhance coding accuracy and efficiency. The position demands excellent communication skills to relay expectations, report on progress, and foster positive relationships with internal and external stakeholders.
To succeed, candidates must have proven expertise in Emergency Department (ED) Facility, Surgery, and Observation Coding, with a minimum of 3–4 years of hands-on experience in a medical coding role. At least 1 year of leadership experience as a Team Lead in a similar coding process is required, along with a minimum of 2 years of experience in a business process outsourcing (BPO) environment. Candidates without BPO experience will not be considered. Strong analytical skills, attention to detail, and the ability to work independently are essential. Candidates must demonstrate the ability to manage teams effectively, meet deadlines, and adapt to changing priorities.
A bachelor’s degree in a relevant field, such as life sciences, healthcare, or a related discipline, is preferred but not mandatory. Candidates should not have a history of frequent job changes (staying less than a year per company) and must be willing to work onsite in Taguig. The role requires a commitment to maintaining high standards of coding accuracy and team performance in a fast-paced, client-focused environment.
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Registered Pharmacist - Voice Account
Posted 1 day ago
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This is a Process Executive (PE) role for pharmacy graduates to provide high-quality, voice-based customer support within a healthcare-focused business process outsourcing (BPO) environment. This position leverages pharmaceutical knowledge to address client or customer inquiries, ensuring professional and accurate communication. The role is based onsite in either IT Park, Cebu City, or Taguig, operates on a night shift schedule, and is ideal for candidates seeking to apply their pharmacy expertise in a customer-facing, non-clinical setting.
Key responsibilities include engaging with clients or customers through voice interactions to resolve inquiries related to healthcare or pharmaceutical services. You will use your pharmacy background to provide informed and accurate responses, ensuring client satisfaction and adherence to service quality standards. The role requires handling customer interactions with professionalism, empathy, and efficiency, while collaborating with team members to meet performance metrics and contribute to the success of the account. You will also maintain accurate records of interactions and follow established protocols to ensure compliance with client requirements.
The position is open to pharmacy graduates with or without an active license, making it accessible to both new graduates and those with up to 18 months of BPO experience. While a minimum of 1 year of BPO healthcare experience is preferred, it is not mandatory, and candidates with or without BPO experience are eligible. Strong English communication skills, both verbal and written, are essential for effective client interactions. Candidates must demonstrate the ability to work independently, adapt to a fast-paced environment, and manage multiple tasks efficiently. The role requires a commitment to working onsite in either Taguig or Cebu City, depending on the candidate’s location, and adherence to a night shift schedule.
Candidates should not have a history of frequent job changes (staying less than a year per company), as stability and dedication are critical for this role. A pharmacy degree or equivalent qualification is required. The position offers an opportunity for pharmacy graduates to transition into a BPO environment, utilizing their expertise to deliver exceptional customer service while contributing to a dynamic team.
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Accounts Receivable and Billing Analyst
Posted 1 day ago
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The Accounts Receivable (AR) - Billing Analyst role is essential for supporting customers in resolving billing issues, reconciling accounts, and performing manual transaction data entries. This position requires a proactive, self-motivated individual with strong organizational skills and a keen attention to detail. The successful candidate will excel in building cross-functional relationships, identifying process improvements, and implementing effective changes to enhance operational efficiency and customer satisfaction.
Key responsibilities include partnering with stakeholders to ensure customers receive the intended benefits from billing processes. You will support customer inquiries, providing immediate resolutions and contributing to long-term solutions. The role involves supporting monthly billing processes by auditing billing data, managing data entries, and ensuring accuracy across multiple internal teams. You will need to understand billing processes thoroughly to provide guidance to internal stakeholders, identify defects, and drive resolutions. Additionally, you will proactively identify and implement operational improvements, enhancements, and system customizations to meet business requirements.
The analyst will actively seek solutions to business and customer needs, proposing innovative approaches to enhance the customer experience. You will support recurring and ad hoc reporting for various internal and external stakeholders, ensuring timely and accurate delivery of information. When necessary, you will escalate issues to your direct manager or senior leaders to ensure prompt resolution. The role demands excellent verbal and written communication skills, with a strong focus on customer service, as well as the ability to solve problems creatively and work collaboratively in a team-oriented environment.
To succeed in this role, you must have a bachelor’s degree and at least 2 years of experience in an Accounts Receivable or Finance & Accounting role as an analyst, or equivalent experience in a business process outsourcing (BPO) environment catering to customer needs. Proficiency in problem-solving and attention to detail are critical. Experience with NetSuite or Oracle is a plus but not required. Candidates must be amenable to working onsite in Pasay or Taguig on a shifting schedule and should not have a history of frequent job changes (staying less than a year per company).
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Voyage Audit Lead
Posted 1 day ago
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The Voyage Audit Lead role is a critical position that combines customer service expertise with a foundational understanding of accounting principles to ensure accurate and efficient audit processes. This role is designed for professionals who excel in delivering high-quality customer interactions while applying basic accounting knowledge to support operational excellence. The position involves working in a hybrid work setup in Makati, with a tentative schedule of 10:00 AM to 7:00 PM, Monday to Friday, and requires adaptability to evolving business needs.
As a Voyage Audit Lead, your primary responsibilities include leveraging your customer service experience to engage with stakeholders, ensuring clear communication and resolution of inquiries related to audit processes. You will apply your basic accounting background to review financial records, verify transactions, and ensure compliance with established procedures. This role involves analyzing data to identify discrepancies, preparing audit reports, and collaborating with team members to maintain accuracy and efficiency in all audit-related activities. You will also contribute to process improvements by identifying areas for optimization and implementing best practices to enhance service delivery.
The role requires a minimum of 2 years of customer service experience, preferably in a business process outsourcing (BPO) environment, coupled with a basic understanding of accounting principles. You will need to demonstrate strong attention to detail, problem-solving skills, and the ability to manage multiple tasks effectively. Excellent communication skills, both verbal and written, are essential for interacting with internal and external stakeholders. The ability to work collaboratively in a team setting while maintaining a high level of accuracy and professionalism is crucial.
Candidates must be adaptable to a hybrid work arrangement, with onsite work required in Makati until December, after which the work location will shift to another site in Taguig. The role demands a commitment to a consistent schedule and the flexibility to adjust to business requirements. A bachelor’s degree in accounting, finance, or a related field preferred. Candidates should not have a history of frequent job changes (staying less than a year per company).
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Team Leader - Medical Coder
Posted 1 day ago
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The Team Leader - Medical Coder role is a leadership position responsible for overseeing the day-to-day operations of a coding services team, ensuring high-quality performance, and maintaining compliance with medical coding standards. This role requires a blend of technical expertise in medical coding, strong people management skills, and the ability to drive process improvements while fostering productive relationships with internal and external stakeholders. The position is based onsite in Taguig and operates on a morning shift schedule, requiring adaptability to meet client requirements and regulatory changes.
Key responsibilities include managing the coding services team to achieve 100% productivity and quality as per client expectations. You will ensure optimal team utilization based on volume, attendance, and attrition, identifying performance gaps through analysis and implementing corrective solutions. The role involves facilitating process improvements, supporting the team by addressing complex coding cases, providing education, and answering questions. You will also interface with leadership to discuss coding trends, relay information from client calls to team members, and maintain an updated tracker for coding trends and changes.
Additional duties include conducting regular feedback sessions and one-on-one meetings with team members, providing coaching on common error scenarios, and performing reviews of claims denied or rejected for coding, documentation, or clinical validation issues. You will prepare detailed reports for management review, identifying trends and conducting focused retrospective audits as well as regular audits of individual coders to ensure accuracy and compliance.
To succeed, candidates must have a bachelor’s degree in a life sciences field such as Physiotherapy, Pharmacy, Nursing, or Biosciences, with Anatomy or Physiology as a subject. A minimum of 6 years of experience in a coding or auditing role, preferably in Evaluation and Management (E&M) coding for outpatient, inpatient, observation, or critical care facilities using ICD, Modifiers, CPT, and HCPCS codes, is required. Candidates must hold a Certified Professional Coder (CPC) credential from the American Academy of Professional Coders (AAPC) or a Certified Coding Specialist (CCS) credential from the American Health Information Management Association (AHIMA) prior to hire. Additional certifications such as RHIA or RHIT are preferred but not mandatory.
A minimum of 1 year of team-handling experience is essential, along with strong knowledge of ICD-10-CM/PCS and CPT coding, as well as prospective payment systems. Proficiency in Microsoft Windows operating systems and Office applications (Word, Excel, PowerPoint) is required. Candidates must demonstrate excellent communication skills, both written and verbal, and the ability to generate clear reports for management review. The role demands the ability to work independently with minimal supervision, meet deadlines, adapt to frequent regulatory changes, and maintain positive relationships with teams and customers. Candidates should not have a history of frequent job changes (staying less than a year per company) and must be willing to work onsite in Taguig and attend an onsite assessment.
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Microsoft Azure DevOps Developer
Posted 1 day ago
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The Microsoft Azure DevOps Developer role is a dynamic position focused on end-to-end application development, encompassing database, back-end, and front-end development using the Microsoft platform. This role requires designing, building, and maintaining high-quality applications while collaborating with stakeholders to ensure alignment with business requirements. You will work in a fast-paced, process-driven environment, adhering to best practices for development, security, and deployment, with a focus on delivering scalable and secure solutions.
Your key responsibilities include assisting in defining and reviewing requirements and use cases, using business process requirements to drive application design and metrics. You will design application user interfaces, classes, and components, ensuring they meet business and technical requirements. The role involves configuring, building, and testing application or technical architecture components, as well as participating in code reviews and fixing defects or performance issues identified during testing. You will collaborate with developers, designers, and architects to ensure custom components meet application requirements and performance goals, while following secure coding practices to mitigate common vulnerabilities.
Additional duties include supervising other designers or developers, participating in transitioning designs to developers, and ensuring a clear understanding of the designs. You will create technical and functional documentation, provide application or technical support, including installation of releases into production, and inform architects and project managers of any issues that may impact other project areas. The role requires planning and executing process steps as defined in established methodologies, anticipating and resolving risks, and meeting milestones with accurate time estimates and status updates.
To succeed, you must have a bachelor’s degree in IT, Software, Computer Science, Information Sciences, Electronics Engineering, Mathematics, or equivalent experience. A minimum of 4 years of software development experience, particularly with Microsoft .NET Framework 4.7 or above, is required, along with proficiency in ASP.NET MVC/Core and SQL development. You should be skilled in front-end development using HTML5, CSS3, JavaScript, jQuery, Bootstrap, TypeScript, and JavaScript frameworks such as Angular, React, or Vue. Expertise in unit testing, automation, or test-driven development, as well as designing and creating CI/CD pipelines using Azure DevOps for .NET applications, is essential. You must have at least 1 year of experience with Microsoft Azure, including proficiency in at least three of the following: Azure App Services, Azure Functions, Logic Apps, Azure API Management, Azure Service Bus, or Azure SQL Data.
Nice-to-have skills include experience with Microsoft BizTalk or Azure Integration Services, Microsoft Power Platform, or low-code platforms. Candidates must be based in the Philippines with the right to live and work in the country and should not have a history of frequent job changes (staying less than a year per company). The role requires full onsite work in Manila or Cebu with a shifting schedule, noting that there is a trend toward full Return to Office (RTO), which may impact flexibility.
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Junior MS Dynamics 365 Field Service (Techno-Functional)
Posted 1 day ago
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The Junior MS Dynamics 365 Project Operations (Techno-Functional) role focuses on configuring and managing Dynamics 365 Project Operations to streamline project management, pricing, resource allocation, and budgeting processes. This role combines technical and functional expertise to ensure seamless automation, integration, and security using Microsoft tools, enabling efficient project operations and supporting client business objectives.
In this position, you will provide expertise in Dynamics 365 Project Operations and the Power Platform, configuring tables and columns to align with solution architecture, diagrams, and business requirements. You will set up Business Process Flows within Dynamics 365 Project Operations to enable Sales Users to efficiently create and manage projects. Your responsibilities will include configuring roles and role rates for pricing, costing, project management, resource management, and project budget management. You will also provide insights into selecting the appropriate Project Operations deployment type for specific clients and bids.
You will manage user privileges using standard Dynamics 365 CE security protocols and Power Apps Admin Center tools, ensuring secure access and operations. The role involves configuring automations with Power Automate, Power Apps, and other Microsoft 365 tools, as well as extending Dynamics 365 CE application functionality using JavaScript, Business Rules, and automations (Power Automate and classic workflows) when needed. Collaboration with project stakeholders is essential, as you will gather and analyze requirements, draft Functional Design Documents (FDD) and Technical Design Documents (TDD), and contribute to solution documents such as Entity Relationship Diagrams and Functional Components of Solution Design Documents.
You will work with cross-functional teams to ensure project requirements are met and accurately represented in the final build. The role includes participating in bids by contributing to RFP documents and providing estimates for configurations and customizations. You will conduct testing and quality assurance to validate functionality, security, and usability, perform root cause analysis for recurring issues, and implement corrective solutions for Dynamics 365 CE builds. Post-implementation, you will provide support and knowledge transfer to end users and IT teams to ensure successful adoption.
The position requires at least 2 years of relevant experience with MS Dynamics 365 Project Operations and a strong ability to configure, use, and document the system. Candidates must be amenable to a hybrid work arrangement, working onsite in Taguig 1-2 days per week on a midshift or nightshift schedule. Candidates should not have a history of frequent job changes (staying less than a year per company).