Senior Claims and Billing Specialist | Night Shift | Eastwood Site

2 weeks ago


Philippines Quezon City MicroSourcing Full time
Job Responsibilities:
. Process and submit insurance claims in accordance with insurer requirements
and federal regulations.
. Handle billing and invoicing for therapists utilizing our EMR platform, ensuring
accuracy and compliance with healthcare regulations.
. Conduct regular follow-ups on unpaid claims with insurers and other third parties,
and manage denials by initiating appeals.
. Collaborate with therapists to obtain any necessary documentation for claim
submission and resolution.
. Maintain up-to-date knowledge of billing regulations, payer policies, and
compliance guidelines.
. Assist in the integration and onboarding of therapists onto the Billing Module,
providing support and training as needed.
. Utilize the EMR platform to input patient data, verify insurance eligibility, and
manage patient billing inquiries.
. Work closely with the development team to provide feedback and suggestions
for billing module enhancements based on user experience.

Qualifications:
. Bacheloru0027s degree in any field.
. At least 3-5 years of experience in claims processing and medical billing. Preferably within behavioral health or similar healthcare sectors.
. Familiarity with healthcare claims and billing softwares, with a preference for candidates with experience in EMR platforms.
. Strong understanding of healthcare insurance processes, coding, and
compliance requirements.
. Excellent organizational, communication, and customer service skills.
. Ability to work independently and as part of a team in a fast-paced environment.
. Detail-oriented with a high degree of accuracy.
. Strong analytical and problem-solving skills.
. Patient and empathetic, with the ability to handle sensitive information confidentially.
. Proactive and motivated, with a continuous improvement mindset.
. Amenable to work on Night Shift.
. Amenable to work in Eastwood, Quezon City.

  • Quezon City, Philippines MicroSourcing Full time

    Job Responsibilities:. Process and submit insurance claims in accordance with insurer requirementsand federal regulations.. Handle billing and invoicing for therapists utilizing our EMR platform, ensuringaccuracy and compliance with healthcare regulations.. Conduct regular follow-ups on unpaid claims with insurers and other third parties,and manage denials...


  • Philippines, Quezon City MicroSourcing Full time

    Position: Intermediate RoleWork Type: Full-timeSet-up: Onsite Schedule: Shifting ScheduleLocation: 1880 Bldg., Eastwood Ave., Libis, QCSalary: PHP 40,000 - PHP 55,000QUALIFICATIONS:5-10 billing experienceNetSuite Experience required.An Accounting degree or equivalent preferredNetSuite Billing required.Competent with Microsoft Word, Excel, and Outlook....


  • Quezon City, Philippines MicroSourcing Full time

    Position: Intermediate RoleWork Type: Full-timeSet-up: Onsite Schedule: Shifting ScheduleLocation: 1880 Bldg., Eastwood Ave., Libis, QCSalary: PHP 40,000 - PHP 55,000QUALIFICATIONS:5-10 billing experienceNetSuite Experience required.An Accounting degree or equivalent preferredNetSuite Billing required.Competent with Microsoft Word, Excel, and Outlook....


  • Philippines, Pasig City MicroSourcing Full time

    With more than 8,000 professionals across 9 delivery centers in the Philippines, MicroSourcing remains the country's largest provider of offshoring solutions.Medical Coder, Be 100% YOU with MicroSourcing!Duties and Responsibilities:Assist in medical claims validation, billing denials, and appeals process.Apply remittances consisting of deposits, credit...

  • Claims Handler

    3 weeks ago


    Quezon City, Philippines P AND I CLAIMS MANAGEMENT INC. Full time

    - Report directly to the head of Operation. - Analyze and evaluate the claims based on the relevant documents submitted to a certain whether the claim is valid, and to establish the party liable. - Prepares full report for the Head of Operations based on the result of the analysis and evaluation of the documents with recommendation on whether the claims are...

  • Claims Handler

    3 weeks ago


    Quezon City, Philippines P AND I CLAIMS MANAGEMENT INC. Full time

    - Report directly to the head of Operation.- Analyze and evaluate the claims based on the relevant documents submitted to a certain whether the claim is valid, and to establish the party liable.- Prepares full report for the Head of Operations based on the result of the analysis and evaluation of the documents with recommendation on whether the claims are...

  • Claims Handler

    3 weeks ago


    Quezon City, Philippines P AND I CLAIMS MANAGEMENT INC. Full time

    - Report directly to the head of Operation. - Analyze and evaluate the claims based on the relevant documents submitted to a certain whether the claim is valid, and to establish the party liable. - Prepares full report for the Head of Operations based on the result of the analysis and evaluation of the documents with recommendation on whether the claims are...


  • Pasig City, Philippines MicroSourcing Full time

    With more than 8,000 professionals across 9 delivery centers in the Philippines, MicroSourcing remains the country's largest provider of offshoring solutions.Medical Coder, Be 100% YOU with MicroSourcing!Duties and Responsibilities:Assist in medical claims validation, billing denials, and appeals process.Apply remittances consisting of deposits, credit...


  • Philippines, Manila Med-Metrix Full time

    Job TypeFull-timeDescriptionFollow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.Meets and maintains daily productivity/quality standards established in departmental policies.Uses the workflow system, client host system and other tools available to them to collect payments and resolve...

  • Claims Specialist

    3 weeks ago


    Taguig, Philippines Nezda Technologies, Inc. Full time

    Nezda is actively hiring Claims Specialist. Salary: P30,000 - P35,000Qualifications: Candidate must possess at least an Associate's or Bachelor's/College Degree With at least 2 years of related experience Proficient in using Microsoft Office applications and is tech-savvy Previous experience in the healthcare industry is an advantage Can start ASAP & work...


  • Philippines Jollibee Group of Companies Full time

    Title: Accounts Payable Accountant - Night ShiftThe AP Accountant will be responsible for the following: Performs Accounts Payable processing for Suppliers, Rentals & Utilities. Supports actively and monitors compliance of the requesting parties to Policies on payments and reimbursements. Invoice Processing: Invoices or Billings processing and validation....


  • Philippines, Pasig City MicroSourcing Full time

    With over 8,000 professionals across 9 delivery centers in the Philippines, MicroSourcing remains the country's largest offshoring solutions provider.Payment Application Associate, be 100% YOU with MicroSourcing!A Payment Application Associate is expected to:Apply remittances consisting of deposits, credit cards, and checks in a timely and efficient...


  • Philippines Phoenix Virtual Solutions Full time

    Job DescriptionThe Medical Biller is responsible for a broad range of billing functions byproviding operational support through the full billing cycle: duties include accounts reviews/billing, payment posting,billing, claim submissions, medical insurance communications, and other billing matters. In this role, theThe specialist is responsible for working,...


  • Philippines KDCI Outsourcing Full time

    Job OverviewWe are seeking an experienced and detail-oriented Accounts Payable Specialist to join our finance team at KDCI Outsourcing. The ideal candidate will play a critical role in ensuring the smooth and efficient processing of accounts payable transactions, maintaining accurate financial records, and supporting our commitment to excellence in financial...


  • Philippines VISAYA Full time

    The AR Specialist II is responsible for billing, re-billing, post-payment/account follow-up, and grievance preparation of assigned. Client Hospital Accounts Receivable. Working at a Client site or in a Centralized location, responsibilities may include account maintenance of specialized or multiple payers including state and federal government programs,...


  • Philippines Vector Outsourcing Solutions Philippines Full time

    Job Description:Provide Medical Practice Analysis for new and potential clients and/or existing clients.Work with Analytics team and Report writers who will prepare Historical data reports, AR reports, denial reports and other Financial reports needed for the practice analysis.Review the report's data for accuracy and consistency; check if other reports are...


  • Philippines Clark Outsourcing Full time

    Salary: 35,000 PHP a monthOversee the processing and exchange of claims and payments with third-party insurance carriers, including addressing related correspondenceIdentify and acquire missing explanation of benefits, ensuring proper posting to aging accountsTake active measures to reduce overall aging of accountsMonitor and verify accurate claims payments...

  • Bilingual Hirings

    4 weeks ago


    Quezon City, Philippines Recruiter PH Full time

    Job Description - more into events coordination and budget and planning - logistics.Candidate should be in Philippines - Tourist visa candidates will not do.Qualification will manage with anything - but should be excellent in Vietnamese / Thai or Korean.This is work on site - no hybrid - shifting scheduleBPO experience preferred3 Rounds of Interview.INITIAL...

  • Bilingual Hirings

    3 weeks ago


    Quezon City, Philippines Recruiter PH Full time

    Job Description - more into events coordination and budget and planning - logistics. Candidate should be in Philippines - Tourist visa candidates will not do. Qualification will manage with anything - but should be excellent in Vietnamese / Thai or Korean. This is work on site - no hybrid - shifting schedule BPO experience preferred 3 Rounds of...

  • Bilingual Hirings

    3 weeks ago


    Quezon City, Philippines Recruiter PH Full time

    Job Description - more into events coordination and budget and planning - logistics. Candidate should be in Philippines - Tourist visa candidates will not do. Qualification will manage with anything - but should be excellent in Vietnamese / Thai or Korean. This is work on site - no hybrid - shifting schedule BPO experience preferred 3 Rounds of...