Medical Claims Adjuster

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 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 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,...

You will be responsible for collections, account follow up, billing and allowance posting for the accounts assigned.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 standards established in departmental...

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,...

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...

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,...

About the RoleWe are looking for a highly motivated and organized Medical Billing Consultant to join our team at Vector Outsourcing Solutions Philippines.The successful candidate will have excellent communication skills, both written and verbal, and be able to work with confidential information.Key Responsibilities:Claims Creation: Ensure the preparation of...

Job OverviewWe are seeking a highly skilled Medical Billing Consultant to join our team at Vector Outsourcing Solutions Philippines.The ideal candidate will have a strong attention to detail, excellent time management skills, and the ability to navigate Healthcare Practice Management systems.Key Responsibilities:Accurate Claims Creation: Prepare accurate and...

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...

Responsibilities:-Provide support to the clinical team and client team.-Determine customer eligibility by reviewing contractual language and medical documentation.-Assess medical appropriateness of claims submitted, and adjust claims as needed.-Pay all covered claims accurately and timely.-Manage both new claims and open claims equally and maintains decision...

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 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...

Responsibilities: Provide support to the clinical team and client team. Determine customer eligibility by reviewing contractual language and medical documentation. Assess medical appropriateness of claims submitted, and adjust claims as needed. Pay all covered claims accurately and timely. Manage both new claims and open claims equally and...

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...

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...

Career OpportunityWe are looking for a highly skilled Healthcare Operations Coordinator to join our team at Manpower Core Group Inc. As a Healthcare Operations Coordinator, you will be responsible for managing the day-to-day operations of our healthcare services, including determining customer eligibility, assessing medical appropriateness of claims, and...

This is an exciting opportunity to join our dynamic team as a medical affairs specialist and contribute to the development of innovative medical products.Responsibilities include:Collaborating with regulatory affairs, marketing, and sales teams to ensure alignment of medical affairs strategies with broader organizational goals.Monitoring and evaluating the...

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...