Medical Claims Analyst Professional
7 days ago
Job Overview
As a Medical Claims Analyst at Med-Metrix, you will play a vital role in ensuring the accuracy and efficiency of our claims processing. This is an excellent opportunity to advance your career in a supportive and innovative environment.
About the Role
The Medical Claims Analyst is responsible for collections, account follow-up, billing, and allowance posting for assigned accounts. Key responsibilities include:
- Follow-up with payers to ensure timely resolution of outstanding claims.
- Meet daily productivity/quality standards established by departmental policies.
- Utilize workflow systems, client host systems, and other available tools to collect payments and resolve accounts.
- Adhere to established policies and procedures for clients/teams.
- Knowledge of timely filing deadlines for designated payers.
- Analyze payer-specific billing guidelines as needed.
- Ability to identify and resolve issues causing payment delays.
- Trend claims issues to proactively reduce denials.
- Communicate management about identified issues/trends.
-
Medical Claims Analyst
6 days ago
Pasig, National Capital Region, Philippines Lennor Group Full timeAbout 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.We partner with reputable companies to source top talent for direct-hire opportunities in various...
-
Medical Claims Analyst
6 days ago
Pasig, National Capital Region, Philippines Lennor Group Full timeAbout 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,...
-
Medical Claims Team Lead
2 days ago
Pasig, National Capital Region, Philippines Med-Metrix Full timeJob 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,...
-
Medical Claims Specialist
7 days ago
Pasig, National Capital Region, Philippines Med-Metrix Full timeWe are seeking a highly skilled Medical Claims Specialist to join our team at Med-Metrix. As a key member of our claims department, you will be responsible for reviewing and processing medical claims, resolving any issues or discrepancies, and ensuring timely payment to providers.Key Responsibilities:Reviewing and processing medical claims, identifying any...
-
Medical Claims Processor
7 days ago
Pasig, National Capital Region, Philippines Med-Metrix Full timeThe Medical Claims Processor plays a critical role in ensuring the accuracy and efficiency of medical claims processing at Med-Metrix. This role requires strong analytical and problem-solving skills, as well as attention to detail and organizational abilities.Responsibilities include reviewing and verifying patient information, researching and resolving...
-
Healthcare Claim Specialist
6 days ago
Pasig, National Capital Region, Philippines Lennor Group Full timeAbout Lennor GroupWe offer a range of services to support businesses in the Philippines and beyond, from recruitment and headhunting to workforce solutions and business consulting.Job OverviewOur team is seeking a highly skilled Medical Claims Analyst to join our client's dynamic team. In this role, you will be responsible for managing claim processing,...
-
Medical Claims Collector
2 days ago
Pasig, National Capital Region, Philippines Optum Full timeAbout the Role:This is a critical role in allowing our members, families, facilities, and health professionals to have greater confidence in the exceptional care we provide.The UB04 Claims Expert will play a vital part in our team, ensuring that all claims are processed accurately and efficiently.Responsibilities include:Collecting and analyzing data to...
-
Healthcare Claims Processor
2 days ago
Pasig, National Capital Region, Philippines Vector Outsourcing Solutions Philippines Full timeJob 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...
-
Insurance Claims Manager
2 days ago
Pasig, National Capital Region, Philippines Hive Health Full timeRole SummaryWe're looking for a highly skilled Claims Officer to join our team, who will be responsible for driving process improvements for healthcare claims operations, managing claims processing, and collaborating with cross-functional teams.Main ResponsibilitiesDevelop and enhance reporting tools within the Hive Portal, ensuring data accuracy for...
-
Medical Benefits Specialist
2 days ago
Pasig, National Capital Region, Philippines Hive Health Full timeJob DescriptionThe successful candidate will have previous experience in healthcare claims processing, preferably in a startup or tech-driven environment. They should also be familiar with medical coding and billing procedures.Key ResponsibilitiesOversee claims evaluation processes for various services such as maternity, dental, and lab fees, ensuring timely...
-
Medical Appeals Specialist
7 days ago
Pasig, National Capital Region, Philippines Med-Metrix Full timeJob DescriptionMED-METRIX is a dynamic and growing company that specializes in healthcare services. We are seeking a skilled Medical Appeals Specialist to join our team.This role involves reviewing insurance claims denied for payment on behalf of our client hospitals. The successful candidate will work closely with nurses and other team members to create...
-
Claims Resolution Professional
6 days ago
Pasig, National Capital Region, Philippines Lennor Group Full timeAbout Lennor GroupWe provide expert business and workforce solutions to organizations in the Philippines and globally.Job DescriptionIn this role, you will be responsible for managing claim processing, billing, collections, and account reconciliation for our client's organization. You will work closely with internal teams and external partners to ensure...
-
Claims Officer
3 days ago
Pasig, National Capital Region, Philippines Hive Health Full timeReady 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...
-
Medical Billing Consultant
3 days ago
Pasig, National Capital Region, Philippines Vector Outsourcing Solutions Philippines Full timeVector 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...
-
Medical Billing Specialist
2 days ago
Pasig, National Capital Region, Philippines Vector Outsourcing Solutions Philippines Full timeJob 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...
-
Medical Case Manager
2 days ago
Pasig, National Capital Region, Philippines Hive Health Full timeAbout the JobHive Health is revolutionizing access to quality, affordable healthcare in the Philippines, and we need talented professionals like you to help us achieve our mission. As a Medical Adjudication Specialist, you will be responsible for reviewing, analyzing, and validating medical availments and claims to ensure accuracy, compliance, and timely...
-
DevOps Engineer for Medical Systems
6 days ago
Pasig, National Capital Region, Philippines The Medical City Full timeThe Medical City Ortigas is searching for an experienced software engineer to help lead the organization to the next level. This role is crucial in developing enterprise data frameworks, leading to the decommissioning of legacy applications, data migration and data remediation, oversees data squad team, who are responsible for designing, constructing and...
-
Medical Claims Auditor
5 days ago
Pasig, National Capital Region, Philippines Med-Metrix Full timeKey ResponsibilitiesThe Quality Analyst- Bilingual will:Participate in performance improvement activities and continuing education to maintain current credentials and enhance knowledge and skills.Share relevant information with the team and take initiative to ensure team members complete projects.Adjust workloads as necessary to achieve successful project...
-
Healthcare Claims Operations Lead
2 days ago
Pasig, National Capital Region, Philippines Hive Health Full timeAbout UsHive Health is a leading healthcare provider in the Philippines, dedicated to making healthcare radically more accessible for all.We're seeking a talented Claims Officer to join our team, who will be responsible for overseeing claims evaluation processes, managing claims processing, and developing reporting tools within our Hive...
-
Policy Assessment Analyst
2 days ago
Pasig, National Capital Region, Philippines Viventis Search Asia Full timeAbout Viventis Search Asia:Viventis Search Asia is a leading recruitment agency specializing in insurance and finance talent acquisition. As a Career Expert Consultant, you will play a key role in identifying and attracting top candidates for this exciting opportunity.About the Position:This Policy Assessment Analyst role involves evaluating insurance...