Medical Claims Professional

P and I Claims Management Inc. is seeking an Insurance Claims Director to lead our claims management team.The successful candidate will have extensive experience in insurance claims, excellent leadership skills, and the ability to make strategic decisions.Key responsibilities include managing claims teams, analyzing claims data, and developing strategies to...

Job DescriptionThe role of Claims Officer at Allianz Popular SL involves processing medical claims for clients in their assigned region. We ensure a high level of client service while processing claims within an industry leading 48 hours.The position requires the ability to examine and process claims accurately and efficiently, ensuring compliance with...

UnitedHealth Group is seeking a Medical Claims Resolution Associate to join our team. In this role, you will be responsible for resolving medical claims disputes and ensuring timely resolution for our customers. You will work closely with cross-functional teams to identify root causes of issues and implement effective solutions.Main Responsibilities:Analyze...

We are seeking a highly motivated and detail-oriented Nurse to join our team as a Medical Liaison. In this role, you will be responsible for communicating with clients and companies to ensure that all medical information is up-to-date and accurate.Key Responsibilities:Communicate with clients and companies to ensure that all medical information is up-to-date...

Key ResponsibilitiesMonitor Claim Status: Ensure prompt and accurate payment by tracking the status of medical claims.Resolve Rejections/Denials: Research and implement measures to prevent future occurrences.Document Account Activities: Maintain accurate and up-to-date records of account activities.Collections Management: Post adjustments and manage...

About PenbrothersPenbrothers is an HR & remote talent management partner and one of the fastest growing companies in the Philippines. We provide talented Filipinos with global opportunities in high-growth startups and dynamic companies, from the comfort of their own homes.About the ClientOur client is a venture-backed startup with a mission to establish a...

Job Title: Medical Claims Liaison OfficerCompany OverviewHunter's Hub Inc. is a trusted name in the health insurance industry, committed to delivering high-quality service to our members. As a Medical Claims Liaison Officer, you will be responsible for facilitating effective communication between healthcare providers, patients, and our team.Job...

Pointwest is seeking a Clinical Claims Processor to join our team in the Emergency Room. The ideal candidate will possess a strong understanding of medical coding systems, including CPT, ICD-10, and HCPCS, as well as insurance guidelines.ResponsibilitiesThe Clinical Claims Processor will be responsible for:Preparing and submitting accurate billing data and...

VCC Link is a leading provider of pet insurance solutions, and we are seeking a talented Veterinary Claims Specialist to join our team. As a key member of our organization, you will be responsible for evaluating veterinary claims and providing exceptional service to our clients.About the TeamWe are a dynamic and supportive team that is passionate about...

BENEFITSPerformance Incentive Plan / Yearly BonusRetirement Program and Group Life InsuranceHybrid Work Set-up after 6 months of employmentBe part of a pioneer teamJOB DETAILS / ROLE PURPOSEThe role of Claims Officer involves processing medical claims for clients in their assigned region. We ensure a high level of client service while processing claims...

In this challenging and rewarding role, you will be responsible for managing claims, ensuring compliance with regulatory requirements, and maintaining accurate records. Key skills and qualifications include:Advanced knowledge of claims systems and downstream data reporting.Strong technical acumen, including TPA system expertise.Excellent communication and...

PRIMARY FUNCTIONS:1. Provides AMAPHIL members with a holistically positive and pleasant medical availment experience in the accredited providers.2. Addresses members' concerns regarding their AMAPHIL coverage benefits.3. Monitors daily patient's progress chart to know patient's needs.4. Issues benefit reference, LOAs to the accredited providers every time...

Work Set-up: RemoteSchedule: 9:00 PM – 6:00 AM PHTJob Summary: We are seeking a detail-oriented Medical Billing Specialist to join our team. The successful candidate will be responsible for managing the billing process for our facilities, ensuring accurate coding of patient services, submitting claims to insurance companies, resolving billing...

A Claims Adjudicator is responsible for reviewing and evaluating insurance claims to determine their validity and the extent of coverage based on policy terms. This role involves analyzing medical records, verifying information, applying policy guidelines, and approving or denying claims accurately while ensuring compliance with regulatory standards.

Job OverviewThe Medical Billing Specialist – AR/Collection role is a critical component of our revenue cycle process. We are seeking an experienced professional to join our team and contribute to the accurate and timely billing of medical claims.

Hybrid - Quezon City 3-5 Yrs Exp Diploma Full-timeJob DescriptionDescriptionMedical Biller & Claims Processor RML-PH - Quezon City (Remote)About UsRML-PH is a dynamic and innovative Health Solutions and Care Delivery Organization committed to transforming the healthcare landscape. With a mission to provide accessible, high-quality healthcare services and...

Job OverviewThe Claims Officer is responsible for processing medical claims for clients in their assigned region. This involves examining and processing claims accurately and efficiently, ensuring compliance with company policies and procedures.The ideal candidate will have strong analytical and problem-solving skills, as well as excellent communication and...

About Makati Medical Center At HomeWe are a leading healthcare provider in the Philippines, dedicated to delivering high-quality patient care and services.Our TeamWe have a team of experienced medical professionals who share our commitment to excellence and innovation.Job DescriptionWe are seeking a Jr. Medical Technologist to join our team at Makati Medical...

Position Summary:The Medical Billing Specialist - AR will play a vital role in our financial team with the primary responsibility of handling all aspects of claims management, from investigation to resolution. This involves reviewing and analyzing the status of claims, navigating various online portals, and regularly communicating with payers. The position...

At Pointwest, we are seeking an experienced Medical Billing Specialist to join our team in the Emergency Room. The ideal candidate will possess a strong understanding of CPT, ICD-10, and HCPCS coding, as well as insurance guidelines.ResponsibilitiesUpdate patient medical records in the billing platformPrepare and submit accurate billing data and medical...