Medical Claims Specialist

Key ResponsibilitiesProcess medical claims benefits for local and international accountsEnsure timely and accurate processing of claimsCollaborate with cross-functional teams to resolve claim-related issuesYour qualifications include at least 3-6 months of experience in processing medical claims benefits or related work.

Job Summary:ActiveOne Health seeks a highly skilled Medical Claims Analyst to join our team. In this role, you will be responsible for analyzing medical information, processing claims, and communicating with stakeholders.Key Responsibilities:Analyze medical information to determine claim validityProcess claims in a timely and accurate mannerCommunicate with...

Job Purpose:InLife Health Care seeks a highly skilled Medical Claims Reimbursement Analyst to join its team. The ideal candidate will be responsible for analyzing, adjudicating, auditing, and processing claims according to set medical guidelines and policies within agreed Service Level Agreements (SLAs).

Discover your 100% YOU with MicroSourcingPosition: Medical Claims and Billing SpecialistLocation: Global One, Eastwood, Quezon CityWork Set-up & Shift: Night Shift & Onsite in EastwoodYour Role:As a Medical Claims and Billing Specialist you will:Process and submit insurance claims in accordance with insurer requirements and federal regulations.Handle billing...

COMPANY PROFILE:Trinity is a full-line insurance broker that provides products and services in both General Insurance and Employee Benefits. For more than three decades, Trinity has transformed the lives of its clients and customers, redefining what it means to be in the business of insurance by creating products and services that are customized,...

Job DescriptionWe are seeking a highly skilled Medical Claims Professional to join our team at Marine Benefits, Inc. This individual will be responsible for ensuring accurate and timely insurance claims adjudication.Assure accurate insurance claims adjudication in a timely manner.Submit invoices/claims utilization reports on time.Validate member documents...

About the Role:The Medical Claims Specialist will play a vital role in our financial team with the primary responsibility of handling all aspects of claims management. This involves reviewing and analyzing the status of claims, navigating various online portals, and regularly communicating with payers.Key Responsibilities:Navigate Different Online Portals:...

About UsDempsy Resource Management Inc. is a leading provider of resource management solutions.Job OverviewWe are seeking an experienced Claims Processor to join our team. As a Claims Processor, you will be responsible for evaluating claims received by checking the completeness of documents, necessity and reasonableness of expenses, and encoding and...

Job OverviewHunter's Hub Inc. is a leading provider of health insurance solutions, and we are currently looking for a Medical Claims Professional to join our team.Responsibilities:Adjudicate hospitalization claims in a timely manner.Analyze medical documentation to make informed decisions.Ensure seamless coordination between patients and providers.Key...

Job OverviewWe are seeking a highly skilled Medical Claims Examiner to join our team at RelianceUnited. In this role, you will be responsible for processing medical claims in a timely and efficient manner, analyzing claim information, and making decisions regarding claim coverage or denial.

We are looking for a highly organized and detail-oriented Medical Claims Coordinator to support our clinical claims team. The successful candidate will be responsible for handling secondary reviews of non-approved medications and participating in continuous improvement efforts for claims accuracy.Key Requirements:Bachelor's degree in a related field2+ years...

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (Member's Reimbursement) according to set medical guidelines and policies within the agreed SLAs (Service Level of Agreements).Principal Accountability:Ensures accurate and timely processing of claims from medical service providers within authority limits. This...

Job Title: Medical Claims Reconciliation SpecialistHDSI: Claim Reconciliation Processor (Health Claims)This role is responsible for processing account reconciliation requests from accredited Flexicare networks, ensuring timely and accurate completion of all assigned reconciliations.Duties and Responsibilities:Conducts reconciliation of claims records from...

Hybrid - Makati 1-3 Yrs Exp Bachelor Full-timeJob DescriptionGovernment Mandated BenefitsInsurance Health & WellnessHMOOthersProfit SharingFree Meals, Retirement PlanMaternity & Paternity Leave, Parental Leave, Sick Leave, Solo Parent Leave, Special Leave for Women, Vacation LeaveWork-Life BalanceFlexible Hours, Work from HomeDescriptionAssure accurate...

We are looking for a skilled Medical Coverage Specialist to join our team at Trinity Workforce Solutions. As a Medical Coverage Specialist, you will play a critical role in reviewing and evaluating insurance claims to ensure that they meet the requirements of our policies.The ideal candidate will have excellent communication skills and be able to effectively...

As a Medical Benefits Specialist, you will play a critical role in ensuring that IHC members receive the best possible care while minimizing costs. Your responsibilities will include reviewing cases to determine necessity of availment and need for medical procedures, coordinating catastrophic cases with superiors, and participating in process reviews to...

About the RoleThis position is ideal for individuals who excel in organizational tasks, have excellent communication skills, and can work effectively under pressure. As a Claims Resolution Specialist, you will be responsible for managing multiple claim files simultaneously, ensuring that all deadlines are met, and maintaining accurate records.

About Us:We are Trinity Insurance and Reinsurance Brokers, Inc., a trusted provider of insurance solutions in the Philippines. Our company offers a wide range of products and services in General Insurance and Employee Benefits.The Role:We are looking for a qualified Claims Specialist to join our team in handling claims related to Employee Benefits. As a key...

Pointwest is seeking a Senior Medical Claims Processor to join our team. In this role, you will be responsible for processing and submitting medical claims to insurance companies, Medicare, Medicaid, and third-party payers.You will work closely with our healthcare professionals to ensure that all claims are accurately processed and submitted in a timely...

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...