Medical Billing and Claims Expert

6 days ago


Manila, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time

About the Role:

This position is responsible for providing exceptional customer service to healthcare clients, resolving billing and claims issues, and collaborating with internal teams to ensure seamless account management.

Responsibilities Include:

  1. Providing timely and accurate responses to client inquiries.
  2. Resolving billing and claims issues through effective communication and problem-solving skills.
  3. Documenting client interactions and maintaining accurate records.
  4. Collaborating with internal teams to address complex account issues.

Requirements and Qualifications:

  • High school diploma or equivalent required; an associate's or bachelor's degree in healthcare administration or a related field is preferred.
  • 1-3 years of experience in customer service, preferably in a healthcare BPO or related healthcare industry role.
  • Excellent communication and interpersonal skills.
  • Ability to work effectively in a fast-paced environment.


  • Manila, National Capital Region, Philippines Manila Doctors Hospital (Manila Medical Services Inc.) Full time

    The Medical Billing Specialist is responsible for managing the financial aspects of patient care. This includes preparing and submitting claims, communicating with patients and insurance companies, and resolving billing discrepancies.Key Responsibilities:Review and prepare patient charts for accurate billing.Submit claims to insurance companies and manage...


  • Manila, National Capital Region, Philippines TakeCare Asia Philippines, Inc. Full time

    Key ResponsibilitiesAs a Medical Bill Reviewer at TakeCare Asia Philippines, Inc., you will be responsible for reviewing medical bills and claims to ensure accuracy and compliance with regulatory requirements.You will work closely with healthcare providers to resolve any issues or discrepancies related to medical billing and claims processing.The ideal...


  • Manila, National Capital Region, Philippines Cognizant Full time

    About Cognizant:Cognizant is a leading provider of business consulting and operational services, helping our clients achieve their strategic goals. Our team is dedicated to delivering high-quality solutions that meet the evolving needs of our clients.Job Summary:We are seeking a skilled Medical Claims Processor to join our team in Cebu. As a Medical Claims...


  • Manila, National Capital Region, Philippines BroadPath Global Solutions Inc. Full time

    Job DescriptionWe are seeking an experienced Medical Claims Expert to join our innovative healthcare team at BroadPath Global Solutions Inc. The ideal candidate will have a strong background in medical claims processing and be proficient in evaluating coverage, calculating benefits, and ensuring compliance with national guidelines and company policies.The...


  • Manila, National Capital Region, Philippines Pointwest Full time

    Job DescriptionAt Pointwest, we are seeking a highly skilled Medical Billing Specialist to join our team. As an integral part of our revenue cycle process, this role is responsible for preparing and submitting billing data and medical claims to insurance companies, Medicare, Medicaid, and third-party payers.Key Responsibilities:Update patient's medical...


  • Manila, National Capital Region, Philippines RemoteRaven Full time

    **Job Description for Medical Billing Director at RemoteRavenAbout the RoleWe are seeking an experienced Medical Billing Director to lead our revenue cycle operations. The successful candidate will have a proven track record in medical billing, coding, and revenue cycle management.The ideal candidate will oversee all aspects of the revenue cycle, from...


  • Manila, National Capital Region, Philippines Jade Solutions and Management Services Full time

    Job Summary:We are seeking a highly detail-oriented and organized Medical Claims Specialist to join our team at Jade Solutions and Management Services. In this role, you will be responsible for evaluating claims received by checking the completeness of documents, necessity, and reasonableness of expenses.Key Responsibilities:Evaluating medical claims and...


  • Manila, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time

    Job Description:This role is responsible for managing healthcare collections, ensuring timely payment of unpaid claims. The ideal candidate will possess excellent communication skills, the ability to navigate complex billing systems, and a strong background in medical billing and accounts receivable.The successful candidate will be able to work...


  • Manila, National Capital Region, Philippines ADDMORE Outsourcing - A Division of ADDMORE Services LLC Full time

    About the Role:We are seeking a highly skilled Medical Coding and Billing Professional to join our team at ADDMORE Outsourcing. As a key member of our healthcare team, this individual will be responsible for managing patient billing, handling insurance claims, and providing accurate coding for medical procedures and diagnoses.Key Responsibilities:Assign...


  • Manila, National Capital Region, Philippines Hunters Hub Inc. Full time

    Claims Adjudication Expert Job SummaryAt Hunters Hub Inc., we are seeking a highly skilled Claims Adjudication Expert to join our team, specializing in hospitalization claims assessment and adjudication.Responsibilities:Assess and adjudicate hospitalization claims, ensuring timely processing and effective communication with customers.Conduct thorough...


  • Manila, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time

    Join Our Team:We're a diverse team with operations across North America, South America, Europe, Asia Pacific, and the Middle East. This includes our over 25,000 employees in the Philippines.About Us:UnitedHealth Group is a health care and well-being company with a mission to help people live healthier lives and help make the health system work better for...


  • Manila, National Capital Region, Philippines Amazon Full time

    Job OverviewWe are seeking a highly skilled Medical Billing Analyst to join our team at Amazon. In this role, you will be responsible for claim submission, following system coding edits, and maintaining spreadsheets.The successful candidate will have experience working in a shared services environment with productivity targets, as well as exposure to US...


  • Manila, National Capital Region, Philippines Private Advertiser Full time

    As a Customer Service Associate - Medical Billing, you will play a vital role in ensuring the smooth processing of medical claims and providing exceptional customer service to patients and healthcare providers.Your primary responsibilities will include handling inbound calls regarding billing inquiries and facilitating payments using client software...


  • Manila, National Capital Region, Philippines Private Advertiser Full time

    Job Description:We are seeking a highly skilled Medical Collections Expert to join our team at the Private Advertiser. As a key member of our revenue cycle, this role will be responsible for collecting payments from insurance companies, clients, and other payers.This position ensures timely and accurate reimbursement for medical services rendered by...


  • Manila, National Capital Region, Philippines ADDMORE Outsourcing - A Division of ADDMORE Services LLC Full time

    Job Overview:We are looking for a skilled Healthcare Claims Specialist to join our team at ADDMORE Outsourcing. This individual will be responsible for managing patient billing, handling insurance claims, and providing accurate coding for medical procedures and diagnoses.Key Responsibilities:Accurately assign ICD-10, CPT, and HCPCS codes to patient diagnoses...


  • Manila, National Capital Region, Philippines Crawford Group Full time

    About UsCrawford Group is a leading provider of medical bill review and process improvement services.Job Description:We are seeking a highly skilled Clinical Program Nurse I to join our team. This individual will be responsible for auditing in-patient and/or surgical bills to promote excellence in medical bill review and process...


  • Manila, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full time

    Company OverviewMED-METRIX INTERNATIONAL PH-I, INC. is a leading provider of medical billing services.


  • Manila, National Capital Region, Philippines Theoria Medical Full time

    About The JobThis Medical Coder position requires a strong understanding of medical terminology, anatomy, and physiology. You will be responsible for reviewing medical records and documentation to ensure accurate coding, collaborating with healthcare providers to clarify any discrepancies or obtain additional information.As a Medical Coder at Theoria, you...


  • Manila, National Capital Region, Philippines Hunters Hub Inc. Full time

    Job DescriptionAt Hunters Hub Inc., we are seeking a highly skilled Medical Claims Specialist to join our team.Responsibilities:Assess and adjudicate hospitalization claims in real-time, ensuring timely processing and effective communication with customers.Conduct thorough analysis of medical documents to make informed claims decisions, demonstrating...


  • Manila, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time

    Job OverviewWe are seeking an experienced Patient Account Representative Collector to join our team. In this role, you will work closely with customers to resolve payment disputes, verify claim status, and collect outstanding claims. Your excellent communication skills and attention to detail will ensure seamless interactions with...