Case Manager

1 day ago

Southern Manila District, Philippines ISTA Personnel Solutions Full time

Overview

STA Personnel Solutions South Africa - we are a global BPO company, partnering with a USA-based client offering Billing and Accounts Receivable Management Services in the Healthcare Sector, and are seeking a Healthcare Case Manager & Billing Lead with USA experience .

This role requires a minimum of 1-year experience in the USA Healthcare Industry, with strong knowledge of medical billing (claims), initial authorization processing (In-patient) and case management (reviewing clinicals) and MS Office.

PLEASE NOTE: PLEASE DO NOT APPLY IF YOU DO NOT HAVE HEALTHCARE EXPERIENCE - YOU WILL NOT BE CONSIDERED

PLEASE NOTE:

  • Working Hours: This role requires you to work USA hours Mon - Fri from 9am to 6pm EST (15h00pm to midnight South African time, however these hours are subject to change depending on daylight savings).
  • Work Environment: This is a remote working role
  • Internet Requirements: A fixed fibre line with a minimum speed of 25 Mbps (upload & download) and the ability to support a wired Ethernet connection is mandatory. Applicants without a fixed fibre line cannot be considered.
  • Power Backup: A reliable power backup solution is required to manage load shedding and power outages. Applicants without a power backup cannot be considered.
Key Responsibilities
  • Manage healthcare accounts, ensuring seamless claims processing and authorizations.
  • Oversee accurate and timely medical billing processes, including coding for services.
  • Review clinicals for case management and coordinate approvals.
  • Follow up on claims, resolve denials, and liaise with insurance providers.
  • Work closely with clinical, administrative, and financial teams to support seamless patient care and billing processes.
  • Utilize MS Office (Excel, PDF, Outlook) for reporting and documentation.
  • Ensure compliance with billing policies and healthcare regulations.
Qualifications
  • Minimum of 1 year of experience in US healthcare settings, with a strong focus on medical billing, coding (CPT, ICD-10), and case management.
  • Sound knowledge of HIPAA regulations.
  • Strong analytical skills and good judgment
  • Highly detail-oriented and precise
  • Efficient in managing and prioritizing emails
  • Excellent communication, problem-solving, and organizational abilities
  • Follows established processes with accuracy
  • Understands processes with the ability to exercise good judgement in taking appropriate next steps

If you are not contacted within 14 working days, please consider your application unsuccessful.

#J-18808-Ljbffr

  • Outpatient Case Manager

    2 weeks ago

    Southern Manila District, Philippines Remote Raven Full time

    1 day ago Be among the first 25 applicants The Outpatient Case Manager provides remote, client-centered support across all stages of treatment, including intake, active care coordination, appointment scheduling, and discharge planning. This role ensures the efficient delivery and documentation of wraparound services by coordinating with clients, families,...

  • CASE MANAGER

    5 hours ago

    Manila, National Capital Region, Philippines Bay Legal, PC Full time ₱300,000 - ₱450,000 per year

    Join XPRTS, Inc. – Global Legal Support CareersXPRTS, Inc. is a fast-growing legal staffing and technology solutions company, founded by Bay Legal, PC, a California-based U.S. law firm. With operations in the Philippines and Latin America, we help law firms scale through technology-driven systems and highly trained global professionals.Our teams support...

  • Employment Case Manager

    2 weeks ago

    Eastern Manila District, Philippines Veterans Village of San Diego Full time

    PURSUE YOUR PASSION, Not Just another Job! Veterans Village is looking for employees who want to make a difference in the lives of our veterans. They served us, now it’s our turn to serve them! And we’ve been doing this for almost 40 years! The Employment Case Manager assists our veteran clients in developing vocational goals reflective of their...

  • Case Specialist 196,197,198

    2 weeks ago

    Capital District, Philippines Groupe ProductLife Full time

    ProductLife Group is looking for a Case Specialist to join our dynamic team to contribute to the activities performed in the Hub: Responsibilities: Data entry of vigilance cases in the relevant databases according to relevant conventions Quality control of vigilance cases and other documents associated to safety reports Medical review of vigilance cases...

  • Customer Success Enablement Manager

    2 weeks ago

    Southern Manila District, Philippines Boundless Immigration Full time

    Customer Success Enablement Manager Functionality: CSO, Business; Client Success Boundless Inc. Cebu, Philippines Your Mission As a Customer Success Enablement Manager at Boundless, you’ll drive operational efficiency and enhance client satisfaction by supporting immigration case progression, maintaining data accuracy, and facilitating internal...

  • Case Management Lead

    4 weeks ago

    Manila, National Capital Region, Philippines GCash Full time

    OverviewJoin to apply for the Case Management Lead role at GCash.ResponsibilitiesCase Escalations Management: Act as the escalation point for high-priority or complex cases that require additional attention.Ensure escalated cases are handled properly by the vendors swiftly and efficiently, minimizing customer dissatisfaction.Work to prevent case escalations...

  • Case Management Lead

    4 days ago

    Manila, National Capital Region, Philippines GCash Full time ₱900,000 - ₱1,200,000 per year

    Do you want to take the first step in making Filipinos' lives better everyday? Here in GCash we want to stay at the forefront of the FinTech industry by creating innovative, meaningful, and convenient financial solutions for the nation G ka ba? Join the G Nation todayWho You'll Be Working WithIf you have a strong background in customer service,...

  • Case Manager

    2 weeks ago

    Manila, Philippines Buscojobs Full time

    Virtual Case Manager – Remote Location: 1200 Makati City, National Capital Region; Remote Workmate Pty Ltd Posted 558 days ago Job Type: Permanent | Full Time - 40 hours per week Work Schedule: 11:30 PM to 7:30 AM PHT, Monday to Friday This is a remote position. Role overview: Virtual Case Manager for a client attorney with over 15 years of experience in...

  • Manager, Case Management Nurse

    6 days ago

    Manila, Philippines Health Business Solutions LLC Full time

    The Case Management Nurse Manager is responsible for overseeing the daily operations of the Case Management department and leading a team of Case Management Nurses. This role involves ensuring efficient care coordination, managing healthcare costs, and maintaining high-quality patient care standards. The Case Management Nurse Manager will collaborate with...

  • Manager, Service Design

    4 days ago

    Manila, National Capital Region, Philippines White & Case Full time ₱1,200,000 - ₱2,400,000 per year

    Manager, Service DesignFirm SummaryWhite & Case is an elite global law firm serving leading companies, financial institutions and governments worldwide. Our long history as an international firm means we are perfectly placed to help our clients resolve their most complex legal challenges wherever they may be. With lawyers and staff operating from more than...