Medical Claims Specialist

Job OverviewInLife Health Care is seeking a highly skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will play a vital role in ensuring that all claims are processed accurately and efficiently.Responsibilities:• Analyze and adjudicate claims according to set medical guidelines and policies• Audit and process claims...

Job Title: Medical Claims SpecialistDescription:We are seeking a highly skilled Medical Claims Specialist to join our team at MED-METRIX INTERNATIONAL PH-I, INC.Key Responsibilities:Analyze and process medical claims, identifying and resolving any discrepancies or errors.Communicate effectively with patients, providers, and payers to ensure accurate and...

Job SummaryWe are seeking an experienced Medical Claims Specialist to join our team. As a key member of our operations department, you will be responsible for processing medical claims and ensuring that they are accurately documented and paid.Key Responsibilities:Process medical claims and verify patient information.Communicate with healthcare providers and...

About the RoleWe are seeking a highly skilled Medical Claims Specialist to join our team at TakeCare Asia Philippines, Inc.The successful candidate will be responsible for managing the entire claims process, from initial investigation to final resolution. They will work closely with healthcare providers, insurance carriers, and internal stakeholders to...

Job DescriptionWe are seeking a skilled Medical Claims Specialist to join our team at RA ROCO INSURANCE BROKERS INC. This role involves reviewing claim documents and reimbursement received from clients, ensuring timely submission to principals and following up on the status of claims.Key Responsibilities:Claim Review and Submission: Review claim documents...

Claims Analyst Job Summary:We are seeking an experienced Medical Claim Analyst to join our team at TakeCare Asia Philippines, Inc. The successful candidate will be responsible for analyzing and resolving complex medical claims.Key Responsibilities:Review medical claims to determine coverage and coding accuracy.Analyze claims data to identify trends and areas...

Discover your 100% YOU with MicroSourcingPosition: Medical Claims and Billing SpecialistLocation: Global One, Eastwood, Quezon CityWork Set-up & Shift: Night Shift & Onsite in EastwoodYour Role:As a Medical Claims and Billing Specialist you will:Process and submit insurance claims in accordance with insurer requirements and federal regulations.Handle billing...

About the RoleWe are seeking a skilled Medical Claims and Billing Specialist to join our team at MicroSourcing.This is an exciting opportunity for a detail-oriented professional who enjoys working in a fast-paced environment. As a Medical Claims and Billing Specialist, you will play a critical role in ensuring accurate and timely payment processing for...

Job Description:We are seeking an experienced Medical Biller to join our team. As a Medical Biller, you will be responsible for managing insurance claims, resolving unpaid claims, and maintaining accurate patient account records in a cardiology setting. You will work closely with our healthcare professionals to ensure timely and accurate billing and...

About the RoleMed-Metrix is seeking a skilled Medical Claims Analyst to join our team.Duties and Responsibilities:Review and process medical claims in accordance with established guidelines and proceduresCommunicate effectively with healthcare providers and insurance companies to resolve claim issuesAnalyze claims data to identify opportunities for process...

Job SummaryWe are seeking a highly skilled Medical Biller to join our team at KMC Solutions in the heart of Metro Manila. This onsite independent contractor role is based in Ortigas CBD, Pasig, right by Ortigas Station MRT.About the RolePrepare and submit clean claims to insurance companies via electronic and paper submissions.Verify patient insurance...

About the RoleWe are seeking a highly skilled Medical Claims Professional to join our team. As a key member of our healthcare support team, you will be responsible for managing medical claims submissions, tracking statuses, and proactively resolving denials.Your primary goal will be to ensure seamless communication with insurers and patients while...

COMPANY PROFILE:Trinity is a full-line insurance broker that provides products and services in both General Insurance and Employee Benefits. For more than three decades, Trinity has transformed the lives of its clients and customers, redefining what it means to be in the business of insurance by creating products and services that are customized,...

This role involves processing and managing healthcare claims, with a focus on collections and revenue cycle operations.Key Responsibilities:Contract review and payment dispute resolutionProvider side support and UB04 form managementClaim status verification and unpaid claim collectionClaims payment processing and reconciliationTo succeed in this position,...

Job DescriptionTenet Global Business Center, Inc. is seeking a skilled Dispute Management Specialist - Medical Claims. The ideal candidate will have a strong understanding of medical claims processing and a proven track record in resolving disputes and appeals.Main Responsibilities:- Validating denial reasons and ensuring accurate coding in DCM- Generating...

At Sutherland, we're passionate about delivering high-quality medical claims processing services. As a Medical Claims Analyst, you'll play a key role in ensuring accurate and timely claims processing.Your key responsibilities will include:Evaluating transactions to ensure all required processes and guidelines are followedReviewing prescription orders and...

About the Role:We are seeking a skilled Claims Specialist to join our team at TakeCare Asia Philippines, Inc. As a key member of our Claims Team, you will be responsible for ensuring the accuracy and efficiency of our claims processing operations.Key Responsibilities:Review medical claims daily to determine coverage, coding, and payment standards in...

Medical Claim Resolution ExpertViventis Search Asia is seeking a Medical Claim Resolution Expert to help our partner in the BPO industry navigate the complexities of medical claim denials.About the Role:Claim Denial Resolution: Resolve denied medical claims by preparing and submitting appeals that address specific issues and regulations.Collaboration with...

Job RequirementsTo succeed in this role, you will need to have strong analytical and communication skills, as well as experience in end-to-end claim processing. You should be proficient in Microsoft Suite Applications and have a Bachelor's degree in any course. Medically-aligned degrees have an advantage.Responsibilities:Work closely with team members to...

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines and policies within the agreed SLAs (Service Level of Agreements).Minimum Requirements:Graduate of Bachelor of Science in Nursing or any related medical course.Above average...