Medical Claims Advisor

About the RoleMed-Metrix is seeking a skilled Medical Claims Analyst to join our team.Duties and Responsibilities:Review and process medical claims in accordance with established guidelines and proceduresCommunicate effectively with healthcare providers and insurance companies to resolve claim issuesAnalyze claims data to identify opportunities for process...

This role involves processing and managing healthcare claims, with a focus on collections and revenue cycle operations.Key Responsibilities:Contract review and payment dispute resolutionProvider side support and UB04 form managementClaim status verification and unpaid claim collectionClaims payment processing and reconciliationTo succeed in this position,...

RMLPH Manila, National Capital Region, PhilippinesTransforming Healthcare with Accurate BillingWe are seeking a highly motivated and detail-oriented individual to join our team as a Medical Claims Processor. In this role, you will play a critical part in ensuring accurate and timely billing, as well as claims processing and follow-up.You will work closely...

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines and policies within the agreed SLAs (Service Level of Agreements).Minimum Requirements:Graduate of Bachelor of Science in Nursing or any related medical course.Above average...

Job RequirementsTo succeed in this role, you will need to have strong analytical and communication skills, as well as experience in end-to-end claim processing. You should be proficient in Microsoft Suite Applications and have a Bachelor's degree in any course. Medically-aligned degrees have an advantage.Responsibilities:Work closely with team members to...

Job DescriptionWe are seeking a skilled Medical Claims Specialist to join our team at RA ROCO INSURANCE BROKERS INC. This role involves reviewing claim documents and reimbursement received from clients, ensuring timely submission to principals and following up on the status of claims.Key Responsibilities:Claim Review and Submission: Review claim documents...

Job OverviewWe are seeking a detail-oriented and organized Claims Analyst to join our team at TakeCare Asia Philippines, Inc.Responsibilities:Claims Processing:The successful candidate will review claims daily based on medical necessity, coverage guidelines, coding & payment standards, and applicable regulatory and compliance requirements.This position...

Job SummaryOceanic seeks a highly skilled Claims Coordinator to join our team. As a Crew Claims Coordinator, you will be responsible for ensuring accurate and timely processing of medical claims for our crew members. This role requires strong communication skills, attention to detail, and ability to work collaboratively with various...

Role Overview">We are seeking a talented Pharmaceutical Advisor to join our team at Rxilient Medical Pte Ltd.">As a Pharmaceutical Advisor, you will play a critical role in driving scientific engagement and pre-launch activities for our oncology portfolio.">Key responsibilities include developing and executing advisory boards, medical educational programs,...

Access Healthcare Services Manila, Inc. is a leading healthcare provider seeking an experienced Customer Service Representative to join our Accounts Receivable team.The ideal candidate will have a proven track record in accounts receivable, claims, billing, or collections and be fluent in English.Key responsibilities include:Managing assigned accounts...

Job DescriptionWe are seeking a highly motivated Medical Claims Processor Lead to join our dynamic healthcare services team at Cognizant. As a key member of our team, you will be responsible for processing medical claims accurately and efficiently, ensuring seamless operations within our organization.About the RoleThis role requires strong analytical and...

Job OverviewAt John Clements Consultants, Inc., we are seeking a skilled Medical Claims Analyst to join our team. This role is responsible for collections, account follow-up, billing, and allowance posting for assigned accounts.Key ResponsibilitiesWe will follow up with payers to ensure timely resolution of all outstanding claims via phone, emails, fax, or...

On-site - Manila 1-3 Yrs Exp Diploma Full-timeJob DescriptionMed-Metrix is on URGENT HIRING I'm looking for interested applicants for the Medical Claims Analyst role who can join today's interview session.Qualifications:With at least 1 year of healthcare background (AR Background is a plus)Strong foundation with healthcare terminologiesStrong understanding...

Access Healthcare is searching for a Medical Insurance Claims Processor to join our team. In this critical role, you'll be handling inbound calls related to patient billing and accounts receivable, ensuring that claims are processed accurately and efficiently.You'll need strong English communication skills and experience with:Checking account balancesMaking...

Job PurposeThe representative is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to themDuties and Responsibilities:Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.Meets and maintains daily productivity/quality standards established in...

Primary Responsibilities:Contract reading of payment dispute.Working on the Provider side.Checking with the insurance to verify claim status and collect unpaid claims.Process claims payment, Denial Management, Claim statusing.JOB QUALIFICATIONSCompleted at least 2 years in college.With minimum 12 months experience of Healthcare Account Receivable/Collections...

Primary Responsibilities:Contract reading of payment dispute.Working on the Provider side.Checking with the insurance to verify claim status and collect unpaid claims.Process claims payment, Denial Management, Claim statusing.JOB QUALIFICATIONSCompleted at least 2 years in college.With minimum 12 months experience of Healthcare Account Receivable/Collections...

We are seeking a Medical Claims Coordinator Associate to join our team at BrightCare Assist Philippines Inc. As a key member of our team, you will be responsible for coordinating with healthcare providers and insurance companies to ensure smooth claims processing.Your responsibilities will include managing patient cases, resolving issues that may arise...

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...

Job OverviewWe are seeking a skilled and compassionate Veterinary Medical Advisor to join our team. As a key member of our telemedicine team, you will provide high-quality patient care and education to clients via secure video platforms.Main Responsibilities:Diagnostic Evaluation: Conduct thorough diagnostic evaluations of patients, including review of...