Medical Claims Specialist
7 days ago
We are looking for a detail-oriented and organized individual to join our team as a Healthcare Billing Specialist. This full-time role involves managing patient inquiries, processing payments, and performing general administrative tasks.
Key Responsibilities:- Handle Patient Inquiries: Respond to inbound and outbound calls from patients, insurance representatives, and other authorized entities.
- Manage Billing System: Update the billing system with relevant patient information and ensure accuracy.
- Process Claims: Work with existing billing software (GVT, TRIZETTO, etc.) to bill cases and follow up on accounts receivable.
- Process Payments: Post payments made by patients or their representatives through the company's online payment portal.
- Complete Ad Hoc Tasks: Execute assigned tasks by direct supervisors/managers and/or onshore billing managers.
- BPO Experience: At least 1 year in a healthcare account.
- Healthcare BPO/Billing Experience: At least 1 year required.
- ICD-10/CPT/HCPCS Knowledge: Required for US healthcare setting.
- Claims Rejection/Appeals Background: A plus.
- GVT/TRIZETTO Familiarity: A plus.
- Healthcare Insurance Tools Familiarity: A plus.
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Claims Resolution Specialist
2 days ago
Cebu City, Central Visayas, Philippines Staff Outsourcing Solutions Full timeAbout the RoleWe are looking for a Claims Resolution Specialist to join our team at Staff Outsourcing Solutions. As a Claims Resolution Specialist, you will be responsible for analyzing and resolving denied claims, investigating reasons for denial, and taking corrective actions to resolve claims timely.Key Responsibilities:DENIAL MANAGEMENT--analyzing and...
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Medical Claims Specialist
3 hours ago
Tarlac City, Central Luzon, Philippines Metacom Careers Full timeWe're looking for a highly skilled Medical Claims Specialist to join our team at Metacom Careers. As a key member of our customer support team, you'll be responsible for handling customer inquiries, resolving claims processing issues, and maintaining accurate records.Your primary goal will be to provide exceptional customer service, meet performance targets,...
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Senior Medical Claims Specialist
4 days ago
Angeles City, Central Luzon, Philippines Clark Outsourcing Full timeWe are looking for a skilled professional to oversee client eligibility verification and ensure accurate client records. As a Senior Medical Billing Specialist, you will be responsible for managing collections, addressing insurance fraud issues, and performing weekly client billing and follow-up on any held claims.You will maintain and update a detailed and...
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Medical Claims Processor
1 day ago
Bacolod City, Western Visayas, Philippines Parallax Technologies Full timeParallax Technologies is seeking a highly skilled Medical Claims Processor to join our team. As a key member of our operations department, you will be responsible for managing and processing medical claims efficiently.The ideal candidate will have strong analytical skills, attention to detail, and the ability to multitask in a fast-paced environment.We offer...
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Medical Biller
4 weeks ago
Cebu City, Central Visayas, Philippines Virtual Ventures Full timeWe are seeking an experienced and detail-oriented Medical Billing Specialist with expertise in mental health billing to join our team. The ideal candidate will have a strong background in the end-to-end medical billing process and hands-on experience with AdvanceMD software. This position plays a critical role in ensuring accurate billing, timely...
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Insurance Claims Analyst
3 days ago
Cebu City, Central Visayas, Philippines Staff Outsourcing Solutions Full timeJob OverviewWe are seeking an experienced Insurance Claims Analyst to join our team at Staff Outsourcing Solutions. As an Insurance Claims Analyst, you will be responsible for following up with insurance carriers to determine the reason for claims denial and work to resolve medical claims for payment.Key Responsibilities:Research problem accounts to ensure...
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Claims Processing Specialist
7 days ago
Cebu City, Central Visayas, Philippines Cficoop Full timeWe are looking for a skilled Claims Processing Specialist to join our team at Cficoop. In this role, you will be responsible for examining and processing Philhealth claims to ensure accuracy and completeness.ResponsibilitiesScreens and examines Philhealth claims prior to transmittals.Assists patients in completing claim forms.The successful candidate will...
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Warranty Claims Specialist
2 weeks ago
Cebu City, Central Visayas, Philippines Tahche Outsourcing Services Inc Full timeAbout the job Warranty Claims SpecialistOur US partner is a leader in new and recycled auto parts, as well as Automotive and Metal Recycling. The Auto Parts business unit provides certified new and recycled auto parts to body shops, car dealers, auto parts dealers, and walk-in retail customers.The Warranty Claims Specialist manages and processes warranty...
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Claims and Compliance Specialist
1 day ago
Cebu City, Central Visayas, Philippines Lexmark Full timeJob SummaryWe are looking for a skilled Claims and Compliance Specialist to join our team at Lexmark. In this role, you will be responsible for ensuring the accuracy and completeness of rebate claims and resolving any discrepancies or issues that may arise.Key ResponsibilitiesClaim Processing: Review and process rebate claims to ensure they meet company...
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Medical Equipment Support Specialist
4 days ago
Cebu City, Central Visayas, Philippines TASQ Staffing Solutions Full timeCompany OverviewTASQ Staffing Solutions provides professional staffing solutions to various industries. We are currently seeking a highly skilled Team Leader to join our medical equipment support team.Job DescriptionIn this role, you will lead a team of medical equipment support specialists to deliver exceptional customer service. Your responsibilities will...
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Onsite Medical Biller
4 weeks ago
Cebu City, Central Visayas, Philippines Virtual Ventures Full timeWe are seeking an experienced and detail-oriented Medical Billing Specialist to join our team onsite in Cebu. The ideal candidate will have a strong background in the end-to-end medical billing process and A/R and hands-on experience with Tebra, Advanced MD, ECW,. This position plays a critical role in ensuring accurate billing, timely reimbursement, and...
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Cebu City, Central Visayas, Philippines CoreBridge Solutions Full timeAbout the RoleWe are seeking an experienced Subrogation Manager to lead our subrogation department, overseeing the recovery of liens and claims for personal injury cases. This role involves direct management of subrogation specialists, ensuring efficient processes and outcomes.Key Responsibilities:Subrogation OperationsOversee the identification, management,...
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Cebu City, Central Visayas, Philippines Staff Outsourcing Solutions Full timeREQUIREMENTS:Experience working as a representative of the providers or members line for queries in eligibility and benefits, claims, and authorizations. Preferably with experience in inpatient or outpatient services.Must know the basic insurance terms.Knowledge in Medical Billing/Claims.Experience in Revenue Cycle Management (or a part of) required.The job...
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Cebu City, Central Visayas, Philippines Staff Outsourcing Solutions Full timeREQUIREMENTS:Experience working as a representative of the providers or members line for queries in eligibility and benefits, claims, and authorizations. Preferably with experience in inpatient or outpatient services.Must know the basic insurance terms.Knowledge in Medical Billing/Claims.Experience in Revenue Cycle Management (or a part of) required.The job...
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Cebu City, Central Visayas, Philippines Staff Outsourcing Solutions Full timeRequirementsExperience working as a representative of the providers or members line for queries in eligibility and benefits, claims, and authorizations.Preferably with experience in inpatient or outpatient services.Must know the basic insurance terms.Knowledge in Medical Billing/Claims.Experience in Revenue Cycle Management (or a part of) required.The job...
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Medical Billing Expert
2 days ago
Cebu City, Central Visayas, Philippines Staff Outsourcing Solutions Full timeJob SummaryWe are hiring a Medical Billing Expert to work remotely with our team at Staff Outsourcing Solutions. In this role, you will be responsible for resolving denied claims by investigating reasons for denial, identifying errors or discrepancies, and taking corrective actions.Job Responsibilities:FOLLOW UP with Insurance Carriers via all mediums to...
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Operations Lead in Medical Industry
4 days ago
Cebu City, Central Visayas, Philippines TASQ Staffing Solutions Full timeJob RequirementsTASQ Staffing Solutions is seeking a highly experienced Operations Lead to manage medical equipment support services. As a key member of our team, you will be responsible for supervising a team, developing efficient processes, and driving business growth.Key ResponsibilitiesLead a team of medical equipment support specialists to meet customer...
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Medical Billing Operations Manager
4 days ago
Angeles City, Central Luzon, Philippines Clark Outsourcing Full timeClark Outsourcing is seeking a highly detail-oriented and organized individual to manage billing services for medical providers. As a Senior Medical Billing Specialist, you will be responsible for ensuring accurate claim submissions, verifying client eligibility, handling insurance claims and collections, and maintaining up-to-date billing records.This role...
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Claims Specialist
1 week ago
Cebu City, Central Visayas, Philippines BSA Solutions Inc. Full timeOn-site - Cebu 1-3 Yrs Exp Diploma Full-timeJob DescriptionDescriptionAbout BSA SolutionsWe are a talent outsourcing company with offices in the Philippines and Malaysia. We guide, inspire and empower young talents to be the heroes that drive business growth. We create a satisfying work environment, one where you'll look forward to coming to every day. A...
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Medical Fax Specialist
1 week ago
Cebu City, Central Visayas, Philippines Tahche Careers Full timeMedical Fax Specialist (Radiology Account)Location: Cebu, Central Visayas, PhilippinesJob Type: Full-time, Onsite (Cebu-based)About Us: Our US partner is one of the leading Medical Digital Imaging Service Providers in New Jersey, offering a full spectrum of diagnostic imaging services in comfortable, convenient, and friendly outpatient imaging centers.Role...