Medical Claims Specialist

Job SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at Risewave Consulting Inc. In this role, you will be responsible for managing the entire lifecycle of medical claims, from initial submission to final resolution. Your primary goal will be to ensure timely and accurate payment from payers.Key ResponsibilitiesFollow up with...

Job DescriptionWe are seeking an experienced Medical Claims Adjuster to join our team at Manpower Core Group Inc. As a Medical Claims Adjuster, you will be responsible for providing critical support to our clinical team and clients by determining customer eligibility, assessing medical appropriateness of claims, and ensuring accurate and timely payment of...

Job DescriptionMED-METRIX, LLC is seeking a Medical Claims Processor to join our team. This role involves working closely with patients and clients to resolve medical claims processing issues and ensure seamless communication.Duties and ResponsibilitiesRespond to patient inquiries and resolve issues related to medical claims processing.Analyze and process...

Job DescriptionLead a team of Medical Claims Analysts in managing client relationships and ensuring timely follow-up on outstanding claims.Monitor key performance indicators for clients within assigned regions and provide operational support to global services teams.Develop and implement strategies to improve medical billing policies and procedures,...

About Lennor GroupAs a proud Filipino company, we are committed to providing world-class business and workforce solutions. Our deep market expertise, combined with a global perspective, empowers us to serve businesses of all sizes and industries efficiently.Our brand, Lennor Metier, is a leading recruitment agency and headhunting firm in the Philippines,...

The Medical City is seeking an experienced Medical Equipment Specialist to join the team. This role involves assessing and maintaining medical equipment, ensuring safe and efficient device operation by analyzing failures, implementing corrective actions, and enhancing efficiency while adhering to institutional policies.Key Responsibilities:Install,...

Job OverviewVector Outsourcing Solutions Philippines is seeking a Medical Billing Consultant to ensure the preparation of accurate and compliant medical insurance claims for timely submission.Responsibilities:Accurate Claims Creation: Prepare accurate and compliant medical insurance claims for timely submission.Timely Claim Submission: Oversee the submission...

Job DescriptionWe are seeking a Medical Billing Consultant to join our team at Vector Outsourcing Solutions Philippines.Key Responsibilities:Create accurate and compliant medical insurance claims for timely submission.Oversee the submission of claims to insurance companies, ensuring adherence to deadlines.Address claim denials by coordinating resubmissions...

Job DescriptionThe successful candidate will have previous experience in healthcare claims processing, preferably in a startup or tech-driven environment. They should also be familiar with medical coding and billing procedures.Key ResponsibilitiesOversee claims evaluation processes for various services such as maternity, dental, and lab fees, ensuring timely...

About the Role:This is a critical role in allowing our members, families, facilities, and health professionals to have greater confidence in the exceptional care we provide.The UB04 Claims Expert will play a vital part in our team, ensuring that all claims are processed accurately and efficiently.Responsibilities include:Collecting and analyzing data to...

Ready to make an impact? At Hive Health and HPPI, a subsidiary of Hive Health, we're on a mission to make healthcare radically more accessible for all—and we need passionate, driven individuals to help us make it happen. If you thrive in a fast-paced, innovative environment and want to work on solutions that truly matter, we'd love to meet youHi We're...

Role SummaryWe're looking for a highly skilled Claims Officer to join our team, who will be responsible for driving process improvements for healthcare claims operations, managing claims processing, and collaborating with cross-functional teams.Main ResponsibilitiesDevelop and enhance reporting tools within the Hive Portal, ensuring data accuracy for...

Job OverviewWe are seeking a skilled Insurance Claim Advocate to join our dynamic team.The successful applicant will be responsible for reviewing denied insurance claims, developing strategies to reverse claim denials, and creating appeal letters in support of claim payment.This role requires strong analytical and problem-solving skills, as well as the...

About the JobHive Health is revolutionizing access to quality, affordable healthcare in the Philippines, and we need talented professionals like you to help us achieve our mission. As a Medical Adjudication Specialist, you will be responsible for reviewing, analyzing, and validating medical availments and claims to ensure accuracy, compliance, and timely...

Job OverviewAt Manpower Core Group Inc., we offer a challenging opportunity for an experienced professional to join our medical claims team. We are seeking a highly skilled Clinical Support Specialist to provide critical support to our clinical team and clients. The successful candidate will be responsible for determining customer eligibility, assessing...

Vector Outsourcing Solutions PhilippinesSalary: 25,000 PHP- 35,000/ monthJob Description:Accurate Claims Creation: Ensure the preparation of accurate and compliant medical insurance claims for timely submission.Timely Claim Submission: Oversee the submission of claims to insurance companies, ensuring adherence to deadlines to avoid delays in payments.Claim...

Job ResponsibilitiesThe Appeal Writer will support the organization by reviewing insurance claims denied for payment on behalf of our client hospitals.This role involves working closely with nurses and other team members to create appeal letters in support of claim payment.The successful applicant will have a strong background in appeals writing, be able to...

Ready to make an impact? At Hive Health and HPPI, a subsidiary of Hive Health, we're on a mission to make healthcare radically more accessible for all—and we need passionate, driven individuals to help us make it happen. If you thrive in a fast-paced, innovative environment and want to work on solutions that truly matter, we'd love to meet youHi We're...

Manpower (Philippines) is seeking a detail-oriented and organized Healthcare Insurance Specialist to join our team. In this role, you will be responsible for handling customer inquiries and resolving issues related to health insurance claims.About the RoleYou will work closely with our team to analyze data, identify trends, and develop strategies to improve...

Summary:The Medical Records Assistant will assist the Medical Records Coordinator in ensuring the smooth flow of information between healthcare providers and patients.Healthcare providers are doctors, IPA groups, outpatient rehab, and other HHA/Hospice. The Medical Records Assistant safeguards patient data by adequately protecting it against unauthorized...