Claims Resolution Professional

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,...

ABOUT YOUBachelor's Degree in operations management.With at least 1 year of experience in claims and arbitration, preferably in a related field.Proficient in Microsoft Office and relevant software.Keen to details can manage large volumes of data.Excellent in verbal and written communication skills, with the ability to explain claims validation and...

About KDCI OutsourcingWe are a remote-first company, dedicated to providing exceptional outsourcing services. Our team members work together to deliver high-quality results, and we're looking for a skilled E-commerce Chargeback Specialist to join our Back Office department.Job DescriptionThis role involves managing and resolving chargeback disputes,...

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.We partner with reputable companies to source top talent for direct-hire opportunities in various...

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 SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at Risewave Consulting Inc. In this role, you will be responsible for managing the entire lifecycle of medical claims, from initial submission to final resolution. Your primary goal will be to ensure timely and accurate payment from payers.Key ResponsibilitiesFollow up with...

QualificationsTo be successful in this role, you will need to have a strong background in medical billing and collections. You should also have excellent analytical and problem-solving skills, as well as strong communication and interpersonal skills. Additionally, you will need to be able to work independently and as part of a team, and be able to meet...

Role 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...

Job Description:The Customer Service Agent is responsible for handling inbound customer service calls related to workers' compensation insurance. This includes managing First Notice of Loss (FNOL) calls, providing clear and concise information to customers regarding policy coverage, claim status, and procedures, and resolving customer inquiries and concerns...

About 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...

About 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...

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...

Manpower (Philippines) is seeking a detail-oriented and organized Healthcare Insurance Specialist to join our team. In this role, you will be responsible for handling customer inquiries and resolving issues related to health insurance claims.About the RoleYou will work closely with our team to analyze data, identify trends, and develop strategies to improve...

Job ResponsibilitiesAs a Client-Facing Resolution Professional, you will be responsible for:Communicating the progress of tickets effectively.Preparing timely reports and presentations on issue resolutions and client interactions.Additionally, you will work closely with clients to resolve escalated technical issues, using strong troubleshooting skills and...

About UsRisewave Consulting Inc. is a leading provider of healthcare consulting services. Our mission is to help clients achieve their goals by providing expert advice and support. We are committed to delivering high-quality results and building long-term relationships with our clients.Job DescriptionWe are seeking a skilled Account Resolution Expert to join...

Job OverviewWe are seeking a highly skilled and analytical professional to lead a specialized team dedicated to addressing escalated revenue cycle management (RCM) challenges. As a key member of our revenue operations team, you will be responsible for ensuring the seamless operation of our revenue cycle by effectively managing complex client issues.Key...

About the Position:iSupport Worldwide is seeking a skilled Intellectual Property Guardian to protect our brand from counterfeit products, unauthorized sellers, and IP violations.This role involves monitoring Amazon and TikTok, gathering evidence, submitting infringement reports, and ensuring compliance with platform policies.Monitor Amazon and TikTok for...

Job Title: Debt Resolution SpecialistJob Description:As a Debt Resolution Specialist at JK Capital Finance, Inc., you will play a critical role in resolving outstanding debts with our clients.You will be responsible for communicating with clients, negotiating payment plans, and updating client records to ensure accurate and timely repayment.Main...

KDCI Outsourcing: A Remote Work OpportunityWe are a remote-first company, dedicated to providing exceptional outsourcing services. As an E-commerce Chargeback Specialist, you will be part of our Back Office department and work from home or any location that suits your needs.About the RoleThis role involves managing and resolving chargeback disputes,...

Job Description:This role is responsible for collecting unpaid healthcare claims, interacting with customers to gather support data for invoice accuracy, and working through specific claims discrepancies.The primary responsibilities of this position include contract reading of payment disputes, checking claim status and collecting unpaid claims, processing...