Medical Claims Processor

Insurance Claims Resolution SpecialistWe are seeking an experienced insurance claims professional to handle the resolution of medical claims and ensure timely payments for our clients.This role involves a high level of customer service, with regular interactions with insurance carriers, healthcare providers, and other stakeholders. As a representative of our...

REQUIREMENTS:Experience working as a representative of the providers or members line for queries in eligibility and benefits, claims, and authorizations. Preferably with experience in inpatient or outpatient services.Must know the basic insurance terms.Knowledge in Medical Billing/Claims.Experience in Revenue Cycle Management (or a part of) required.The job...

Location: Cebu CityWork Setup: OnsiteWork Schedule: 9:00 AM to 6:00 PMJob Requirements:At least 1 year of experience in medical coding following the American Medical Association CPT guidelinesNational Correct Coding Initiative (NCCI) proficiencyICD 10/CPT/HCPS codes PHRNJob Responsibilities:• Review claims for errors and rejections and correct them as...

Ideal Biller:Attention to DetailLikes systems and processesExcellent written and oral communication skillsWilling to learn our software, AcusimpleFriendly and patientCapable of multi-tasking (e.g., calling insurance companies for verification while submitting claims and on hold)Responsibilities include:Performing insurance verifications and benefits for new...

POSITION: Medical CoderWORK SET UP : OnsiteLocation: Cebu City (Lexmark or Skyrise)WORK SCHEDULE: 9am - 6pm Day ShiftSALARY PACKAGE: ₱45,000 - ₱60,000KINDLY INCLUDE YOUR JOB DESCRIPTION, DUTIES & RESPONSIBILITIES, TOOL, CERTIFICATION AND TRAINING IN YOUR CV FOR PAPER SCREENINGRESPONSIBILITIESReview claims for errors and rejections and correct them as...

Qualification:Bachelor's degree in NursingActive PHRN licenseAmenable to work on a night shift scheduleHas internet connection of at least 50MBPS Job description: Review medical records related to insurance claims.Extract and summarize essential medical information into structured abstracts.Identify and highlight relevant diagnoses, procedures, and...

Qualification: Bachelor's degree in Nursing Active PHRN license Amenable to work on a night shift schedule Has internet connection of at least 50MBPS Job description: Review medical records related to insurance claims.Extract and summarize essential medical information into structured abstracts.Identify and highlight relevant diagnoses, procedures, and...

Key ResponsibilitiesAnswer Inquiries:Handle calls, emails, or chats from patients or healthcare providers regarding insurance coverage, claims, billing, or authorizations.Process Claims:Assist in verifying and processing insurance claims or medical benefits.Appointment Scheduling:Book, reschedule, or cancel medical appointments as requested by...

Job SummaryWe are seeking a highly skilled Order Management Specialist to join our dynamic team. This individual will be responsible for managing order-to-cash activities, ensuring timely resolution of issues, and providing proactive order status reporting.Key ResponsibilitiesManage order life cycle management from customer account creation until order...

Maintains and records inventory of medical supplies in the clinic and at project sites.Heads the Accident Response Team and conducts regular safety trainings.Provides first aid treatment and proper medication to employees, or accompanies them to the nearest hospital. Monitors and attends to reported accidents.Assists the Company Physician and implements...