Medical Insurance Claim Specialist

POSITION TITLE: Medical Billing and Insurance Claims Specialist WORK LOCATION: Alabang, Muntinlupa WORK SETUP: Onsite WORK SCHEDULE: Night ShiftQUALIFICATIONS -Minimum of 1 year of experience in medical billing, insurance claims, or a related field -Must have at least 6 months of BPO experience handling healthcare accounts -Strong English proficiency, both...

OverviewPOSITION TITLE: Medical Billing and Insurance Claims SpecialistWORK LOCATION: Alabang, MuntinlupaWORK SETUP: OnsiteWORK SCHEDULE: Night ShiftQualificationsMinimum of 1 year of experience in medical billing, insurance claims, or a related fieldMust have at least 6 months of BPO experience handling healthcare accountsStrong English proficiency, both...

Medical Claim Review SpecialistAbout the RoleThis role requires a high level of analytical and problem-solving skills, as well as excellent communication and interpersonal skills. As a medical claim review specialist, you will be responsible for reviewing medical claims for medical necessity.Assess and interpret customer needs, requirements, and medical...

Location: Alabang | OnsiteShift: Day ShiftJob Skills And QualificationsGraduate of any 4 yrs bachelor's degree.2 – 4 yrs experience in Non-Motor Claims, or having prior experience in a claims department, or working with insurance claims can be a significant advantage.Experience in handling properties, cargo, and OFW-related accounts.Prior administrative or...

Position Title: Claims Assistant (Motor Claims)Work Location: AlabangWork Setup: OnsiteWork Schedule: Day ShiftQualifications-Graduate of any 4-year bachelor's degree-Experience in motor claims insurance processing is a plus-Exceptional written and verbal communication skills-Proficiency in MS Word and Excel-Detail-oriented with strong analytical...

Key Responsibilities:Assess and interpret customer needs, requirements, and medical recordsReview medical claims for medical necessity to ensure compliance with regulationsRequired Skills and Qualifications:Active PHRN and USRN license in the respective state or regionMinimum 1 year bedside experience, preferably with UR/UM experience but not...

Job DescriptionWe are seeking a Senior Medical Billing Lead to oversee our medical billing operations. The ideal candidate will have experience in healthcare revenue cycle management and possess strong leadership skills.ResponsibilitiesLead a team of medical billing specialists to ensure timely and accurate claims processing.Develop and implement process...

Medical Coding SpecialistWe are seeking a skilled Medical Coding Specialist to join our team. The ideal candidate will have experience in home health medical coding and be proficient in ICD-10-CM and CMS regulations.This role involves reviewing medical records, assigning accurate diagnosis codes, and ensuring documentation aligns with OASIS and Plan of Care...

Job Title: Healthcare Utilization SpecialistWe are seeking a skilled and experienced Healthcare Utilization Specialist to join our team. The ideal candidate will have a strong background in healthcare, excellent analytical skills, and the ability to work independently.Job Description:The Healthcare Utilization Specialist will be responsible for assessing and...

Job OverviewWe are seeking a highly analytical and detail-oriented professional to fill a key role within our organization. The ideal candidate will possess a strong background in the insurance industry, specifically in reinsurance and accrual accounting.Main ResponsibilitiesAnalyze and reconcile reinsurance transactions to ensure accurate recognition of...