Medical Claims Specialist

Company OverviewManpower Core Group Inc. is a leading provider of workforce solutions, committed to delivering exceptional service and results-driven outcomes. Job DescriptionWe are seeking a highly skilled Medical Claims Specialist to join our team. As a key member of our clinical support team, you will play a critical role in ensuring the smooth operation...

Job DescriptionWe are seeking an experienced Medical Claims Adjuster to join our team at Manpower Core Group Inc. As a Medical Claims Adjuster, you will be responsible for providing critical support to our clinical team and clients by determining customer eligibility, assessing medical appropriateness of claims, and ensuring accurate and timely payment of...

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...

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...

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 Description:Risewave Consulting Inc. is seeking a skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will play a crucial role in ensuring timely resolution of outstanding claims and maintaining daily productivity standards.Key Responsibilities:• Follow up with payers to ensure timely resolution of all outstanding...

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,...

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...

The representative is responsible for collections, account follow up, billing and allowance posting forthe accounts assigned to them.Job 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 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 Overview:Risewave Consulting Inc. has an exciting opportunity for a highly motivated Claims Resolution Expert to join our team. As a Claims Resolution Expert, you will be responsible for resolving outstanding claims and ensuring that our clients receive timely payment.Key Responsibilities:• Analyze and resolve issues causing payer payment delays;•...

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...

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...

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...

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...

About the RoleSupport our organization by reviewing insurance claims denied for payment on behalf of our client hospitals. Collaborate with nurses and other team members to create appeal letters in support of claim payment.Key ResponsibilitiesReview denied insurance claims to identify opportunities for improvement.Analyze patients' medical files to develop...

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...

Clinical Documentation Specialist PositionWe are seeking a skilled Clinical Documentation Specialist to review 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 appeal letters in support of claim payment.ResponsibilitiesExamine denied insurance claims...

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...