Claims Officer
3 weeks ago
Responsibilities
Processing of out-patient and in-patient utilizationChecking the completeness of supporting documentsEncoding in the Enhanced Membership Monitoring System (EMMS) of details of utilization such as diagnosis, amount, procedure done, hospital bills, and professional feesProcessing of members’ utilization reimbursement such as maternity assistance, ER changes, laboratory changes, professional fees, dental fees, and death assistanceProcessing of Account Receivables utilization (for special accommodation of non-members) if applicablePrinting of utilization report summary from the EMMS for sending to the Providers (hospitals, doctors, clinics, labs)Qualifications
Must be willing to work onsite in OrtigasEducation:Bachelor's degree in Healthcare Administration, Business, or a related field.Experience:Previous experience in healthcare claims processing, preferably in a startup or tech-driven environment.Familiarity with medical coding and billing procedures.Curious, results-driven, ownership mentality with growth mindsetExcellent verbal and written communicationsCollaborative team player with the ability to adapt quickly in a fast-paced environmentPassion for innovation in healthcare-
Claims and Collection Officer II
3 weeks ago
Metro Manila, Philippines Philippine Guarantee Corporation - Government Full timeClaims and Collection Officer II in NCR For full job description please see PDF file on Civil Service Commission site by clicking on this job ad. To apply, please kindly follow the procedure described in the PDF file.
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Claims and Collection Officer II
3 weeks ago
Manila, National Capital Region, Philippines Philippine Guarantee Corporation - Government Full timeClaims and Collection Officer II in NCR For full job description please see PDF file on Civil Service Commission site by clicking on this job ad. To apply, please kindly follow the procedure described in the PDF file.
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Healthcare Claims Billing Representative
3 weeks ago
Metro Manila, Philippines Optum, a UnitedHealth Group Company Full timeThis function is responsible for processing medical billing. This positions in this function interact with customers gathering support data to ensure invoice accuracy and also work through specific claims discrepancies. Provide input to policies, systems, methods, and procedures for the effective management and control of the premium collection function....
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Metro Manila, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full timeJob Purpose The Healthcare Claims Representative is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.Duties and Responsibilities Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites. Meets and maintains daily productivity/quality...
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Medical Claims Accounts Receivable
4 weeks ago
Metro Manila, Philippines Optum, a UnitedHealth Group Company Full timeThis function is responsible for Collections for Healthcare unpaid claims. This positions in this function interact with customers gathering support data to ensure invoice accuracy and also work through specific claims discrepancies. Provide input to policies, systems, methods, and procedures for the effective management and control of the premium collection...
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Medical Claims Accounts Receivable
4 weeks ago
Manila, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full timeThis function is responsible for Collections for Healthcare unpaid claims. This positions in this function interact with customers gathering support data to ensure invoice accuracy and also work through specific claims discrepancies. Provide input to policies, systems, methods, and procedures for the effective management and control of the premium collection...
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Healthcare Claims Billing Representative
3 weeks ago
Manila, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full timeThis function is responsible for processing medical billing. This positions in this function interact with customers gathering support data to ensure invoice accuracy and also work through specific claims discrepancies. Provide input to policies, systems, methods, and procedures for the effective management and control of the premium collection function....
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Manila, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full timeJob Summary: Healthcare Claims Representative responsible for collections, account follow-up, billing, and allowance posting for assigned accounts. The Healthcare Claims Representative is responsible for collections, account follow-up, billing, and allowance posting for the accounts assigned to them. They will follow up with payers to ensure timely...
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Accounts Payable Officer
4 months ago
Metro Manila, Philippines Sanitary Care Products Asia, Inc. Full timeThe Accounts Payable Officer is responsible for the preparation and payment of accounts and claims that result in the efficient and effective payment for goods and services received. This role will be required to assist with processing of invoices and claims for payment for goods and services received, control of creditor accounts, preparation and data entry...
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PHRN Appeals Writer
5 days ago
Metro Manila, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full timeJob PurposeThe Appeal Writer supports the Company by reviewing insurance claims denied for payment on behalf of our client hospitals. Working closely with nurses and other team members, the Appeal Writer creates appeal letters in support of claim payment.Duties and ResponsibilitiesReview denied insurance claimsReview patients’ medical filesDevelop...
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Back-office Support
2 months ago
Metro Manila, Philippines Insular Life Assurance Co., Ltd. Full timeThe Back-office Support Staff will provide assistance in different functions such as billing, claims, customer service and etc. Requirements:Candidate must possess at least a Bachelor's/College Degree.Must have experience in using Microsoft Excel and have strong attention to detail.Fast-learner and customer service mindsetMust be available to...
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Accounts Payable Officer
4 months ago
Manila, National Capital Region, Philippines Sanitary Care Products Asia, Inc. Full timeThe Accounts Payable Officer is responsible for the preparation and payment of accounts and claims that result in the efficient and effective payment for goods and services received. This role will be required to assist with processing of invoices and claims for payment for goods and services received, control of creditor accounts, preparation and data entry...
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Regulatory Affairs Officer
2 days ago
Metro Manila, Philippines CONSUMER CARE PRODUCTS, INC. Full timeJob DescriptionAssists the Senior Regulatory Officer in product registrations and securing operational licenses with various Regulatory Agencies (FDA, DENR, BAI) for the assigned Business Units or Product Categories.Use pharmacist license for LTO and registration of Cosmetics and Personal Care products.Assists Marketing in finalizing product labels, and...
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Asset Management Officer
3 weeks ago
Metro Manila, Philippines The Standard Hospitality Group Full timeThe Standard Hospitality Group is a contemporary lifestyle brand whose purpose lies in creating momentous experiences through well-crafted dishes, paired with unparalleled hospitality. The success of our brands, Yabu, Ippudo, Elephant Grounds, and Kiwami, is due, in large part, to the determination and dedication possessed by every member of our team....
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Medical Virtual Assistant
1 month ago
Metro Manila, Philippines eData Services Philippines Inc. Full timeThe VA-Nurses are responsible for the delivery of services or projects as contracted by the Client. The services or projects include scheduling and calendar management, verification of insurance coverage and benefits, dealing with correspondences.Interviewing PatientsPre-exam verification of insurance eligibility, benefits and coverageSecuring treatment...
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Inpatient Liaison Officer
4 weeks ago
Metro Manila, Philippines Manpower Philippines Full timeThis is for a direct hire and permanent position. Job SummaryThe Liaison Officer / Inpatient Services Specialist will be responsible for generating, reviewing, approving, disapproving, issuing, and updating of Letters of Authorization within approved authority limits. They will also be responsible for keeping track of and updating of the member billing as...
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Back-office Support
2 months ago
Manila, National Capital Region, Philippines Insular Life Assurance Co., Ltd. Full timeThe Back-office Support Staff will provide assistance in different functions such as billing, claims, customer service and etc. Requirements:Candidate must possess at least a Bachelor's/College Degree.Must have experience in using Microsoft Excel and have strong attention to detail.Fast-learner and customer service mindsetMust be available to start...
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Healthcare Billing Specialist
4 weeks ago
Metro Manila, Philippines Medical & Business Virtual Assistants 24-7 Full timeCompany Overview:We are a company built on trust and loyalty. MBVA 24/7 started in 2018 and has continuously fostered skilled and talented Virtual Assistants for many clients. Our team of virtual assistants provides services all over the US, and we sure won’t be stopping there! Our main office is located in Arizona and Manila. We have a legion of virtual...
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Pricing Officer
4 weeks ago
Metro Manila, Philippines AXA Philippines Full timeSupport the growth of GI Motor business by performing pricing processes adherent to AXA’s Product Pricing guidelines.Accountabilities:➢Recommends assumptions appropriate for new and existing products. ➢ Develops pricing models consistent with product features and assumptions. ➢ Generates profitability and sensitivity results and analyzes key product...
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Insurance Administrative Assistant
3 weeks ago
Metro Manila, Philippines Vault Outsourcing OPC Full timeAbout the roleAs a Commercial Insurance Administrative Assistant, you will be responsible for supporting the day-to-day operations of a commercial insurance agency. The ideal candidate should have experience in commercial insurance and be adept at handling clerical duties, customer service, communication, and executive administrative assistance. Key...