Medical Claims Specialist

1 week ago


Pasig, National Capital Region, Philippines Visaya Knowledge Process Outsourcing Full time

We are seeking a highly skilled Medical Claims Specialist to join our team at Visaya Knowledge Process Outsourcing.

The successful candidate will be responsible for handling medical claims, denials, and appeals in a fast-paced environment.

Key Responsibilities:

  • Verify eligibility and authorization with payers
  • Update patient demographics and insurance information
  • Research unpaid or denied claims
  • Monitor claims for missing information and authorization
  • Resolve claim issues with payers

Requirements:

  • 2-3 years of experience in medical collections and denials
  • Intermediate knowledge of ICD-10, CPT, HCPCS, and NCCI
  • Intermediate knowledge of billing claim forms (UB04/1500)
  • Intermediate knowledge of payor contracts - commercial and government

Preferred Requirements:

  • Experience with EPIC tool
  • Intermediate knowledge of one or more patient accounting systems
  • Intermediate knowledge of DDE Medicare claim system

We offer a competitive salary of PHP 35,000 per month, depending on experience.

Visaya Knowledge Process Outsourcing is committed to providing a great work-life balance and a supportive work environment. We are looking for candidates who are willing to work onsite in Ortigas, Pasig City.



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