Medical Claims Professional

Job SummaryThe Medical Claims Analyst plays a pivotal role in ensuring accurate claims processing and advancing their career in a supportive and innovative environment. As part of the dynamic team at Med-Metrix, this individual will be responsible for collections, account follow-up, billing, and allowance posting.This is an exciting opportunity for...

About the RoleWe are looking for a highly skilled Clinical Appeal Writer to join our team at Med-Metrix. In this role, you will be responsible for reviewing insurance claims denied for payment on behalf of our client hospitals.As a Clinical Appeal Writer, you will utilize your expertise in medical terminology and analytics to develop compelling appeal...

About Lennor GroupWe are a leading recruitment agency and headhunting firm in the Philippines, partnering with reputable companies to source top talent for direct-hire opportunities.Job OverviewWe are seeking a Claims Resolution Expert to manage claim processing, billing, collections, and account reconciliation.This role involves ensuring timely resolution...

Position SummaryThe Transformation and Process Improvement Officer will play a key role in driving process improvements and implementing technological solutions to optimize workflows. This is an exciting opportunity for a Financial Efficiency Expert to leverage operational and technical insights to drive business growth.About the RoleThis position involves...

Key ResponsibilitiesProcess complex insurance claims and operate various client systems independentlyAnalyze problems, develop procedures, and ensure complianceEnhance customer experience by communicating with clients, addressing needs, and building strong relationshipsPerform audits and troubleshooting to identify gaps, resolve issues, and meet compliance...

Key ResponsibilitiesProcess ImprovementsThe Finance Operations Transformation Officer will be responsible for driving process improvements for healthcare claims operations, focusing on automation and efficiency.They will manage and oversee claims processing, ensuring all supporting documents are complete and accurate.The successful candidate will also...

We are looking for an experienced IT professional to fill the role of Network Administrator at The Medical City.Job OverviewThis position involves designing, implementing, and maintaining our organization's network infrastructure, ensuring its reliability, security, and compliance with industry regulations.ResponsibilitiesKey responsibilities...

Job SummaryWe are seeking a skilled Call Center Representative to join our dynamic team. In this role, you will serve as a key point of contact for patients, answering inquiries, researching and resolving problems, and collecting self-pay balances.Key Responsibilities- Answer patient inquiries and respond to requests and disputes over the phone- Process...

Job Description:The Unemployment Specialist plays a vital role in our organization, responsible for reviewing unemployment claims and responding to state documents. This position involves analyzing case information to determine if a response is warranted and interpreting and applying state laws and regulations to employee separations when responding to...

Job OverviewThe Medical City is seeking a highly experienced Head of Revenue Cycle Management/Commercial Sales to drive revenue generation and cash flow across the hospital group's network. This role requires a deep understanding of healthcare financing, payer relationships, billing processes, and data-driven decision-making.Main Responsibilities:Lead and...

Job OverviewWe are seeking a skilled Medical Sales Representative to promote and sell our ophthalmic surgery-related devices across various clinical sales channels.Key Responsibilities:Promote and sell ophthalmic surgery-related devices.Expand market share through successful marketing initiatives.Achieve product sales objectives.Provide operation theatre...

Join Our TeamMed-Metrix is a leading provider of healthcare solutions, and we are seeking a talented Medical Claims Advocate to join our team. As a Medical Claims Advocate, you will play a critical role in supporting our client hospitals by reviewing and appealing denied insurance claims.Your strong analytical and writing skills, combined with your ability...

Job Overview:Metro Pharma Phils., Inc. is a leading pharmaceutical manufacturing company seeking an experienced Medical Sales Professional to join our team. This role is responsible for meeting and exceeding sales targets for assigned products within the designated territory.About the Role:The successful candidate will develop and implement strategic plans...

Ritegroup Incorporated is a professional organization dedicated to helping hospitals achieve their goal of providing the best patient care and health by offering high-quality products.The RoleAs a key member of our team, you will be responsible for identifying business opportunities, creating business growth, and maintaining business relationships to achieve...

We are looking for a talented Remote Medicine Practitioner to join our team at Outsource Accelerator. As a Telehealth Physician, you will play a crucial role in delivering high-quality patient care through virtual consultations.Job Description:Conduct thorough telehealth consultations to assess patient medical conditions and determine suitable treatment...

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...

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 maintain decision...

Job DescriptionMed-Metrix is seeking a skilled Healthcare Appeals Specialist to join our team. As a key member of our organization, you will play a critical role in reviewing insurance claims denied for payment on behalf of our client hospitals.Working closely with nurses and other team members, you will create appeal letters in support of claim payment,...

The Medical City is hiring an experienced IT Delivery Manager to lead the delivery of IT solutions. This role involves overseeing cross-functional teams, ensuring alignment with business objectives, and driving project success.Main responsibilities include:Managing project managers, technical leads, software engineers, quality engineers, and Dev. Ops....

We are seeking an experienced Medical Sales Representative to join our team at Ritegroup Incorporated.About UsRitegroup Incorporated is a professional organization dedicated to offering high-quality products that cater to the needs of hospitals and medical institutions.Job SummaryThis is a key role within our organization, responsible for promoting and...