
Business Claims Examiner
1 day ago
A claims examiner reviews and evaluates customer claims for accuracy, eligibility, and compliance with industry standards.
Main Responsibilities- Examine customer claims submitted through various channels to ensure validity and legitimacy.
- Investigate claims to determine the extent of coverage and entitlement.
- Collect supporting documentation to substantiate claim decisions.
- Determine settlement amounts for approved claims.
- Maintain accurate records of claim activities and outcomes.
- Communicate effectively with customers regarding claim status and progress.
- Collaborate with team leaders to resolve complex claims and disputes.
- Identify and report potential fraud or abuse.
- Entry-level position with basic knowledge of industry regulations and company policies.
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Medical Claims Examiner
1 day ago
General Santos, Soccsksargen, Philippines beBeeUtilization Full time ₱55,000 - ₱155,000We are seeking a highly skilled Utilization Review Specialist to support our virtual operations.Review medical claims for medical necessity and ensure they meet required standards.Assess customer needs, requirements, and medical records.In this role, you will utilize your expertise in medical terminology and analytical skills to identify areas where patients...
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Highly Skilled Financial Examiner
1 day ago
General Santos, Soccsksargen, Philippines beBeeAudit Full time $100,000 - $125,000Senior Auditor Job DescriptionWe are seeking a highly skilled Senior Auditor to join our team. The ideal candidate will have 2-4 years of audit experience, a CPA certification, and strong knowledge of internal control frameworks and SOX compliance.Audit Planning: Plan and execute SOX audits per plan or management/Audit Committee requests.Audit Execution:...
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Content Clinical Specialist
1 day ago
General Santos, Soccsksargen, Philippines beBeeCoding Full time ₱632,688 - ₱942,944Job OverviewThe primary objective of this role is to source and analyze medical coding and billing documents in order to identify claim denial or covered criteria for an automated claims editing solution.Key ResponsibilitiesConduct research to inform clinical content updates by sourcing medical coding and billing documents.Collaborate with a Medical Director...
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Staff Accounting Professional
1 day ago
General Santos, Soccsksargen, Philippines beBeeAccounting Full time ₱250,000 - ₱400,000Job SummaryA Staff Accounting Professional is responsible for executing financial record-keeping activities for small business clients. The role involves maintaining accounting system records and creating schedules.Key Responsibilities:Perform routine accounting procedures such as bank, credit card, and payroll account reconciliations.Communicate open items...
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Healthcare Revenue Cycle Specialist
2 days ago
General Santos, Soccsksargen, Philippines beBeeBilling Full time $55,000 - $75,000Our company specializes in recruiting and managing remote staff for dynamic healthcare facilities. We connect clients with highly qualified professionals, offering tailored services to meet their unique business needs.The OpportunityA Billing & Collections Specialist position is available, responsible for all Third Party billing and collections functions for...
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Unlock Your Potential as a Product Manager
2 days ago
General Santos, Soccsksargen, Philippines beBeeproductManagement Full time ₱600,000 - ₱800,000Product Management OpportunityWe are seeking an experienced Product Manager to lead our product development and strategy. This role involves defining product requirements, identifying market opportunities and maximizing product outreach in the Asian market.Key ResponsibilitiesDevelop and execute product plans that meet business objectivesAnalyze market...
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Revenue Cycle Management Specialist
1 day ago
General Santos, Soccsksargen, Philippines beBeeReimbursement Full time ₱60,000 - ₱100,000Job Title: Revenue Cycle Management SpecialistWe are seeking a seasoned Revenue Cycle Management Specialist to develop and deliver comprehensive training programs for accounting professionals transitioning into the U.S. healthcare revenue cycle management industry.Key Responsibilities:Design and implement tailored RCM training programs for accounting...
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Manager, Channel Distribution
1 week ago
General Santos, Soccsksargen, Philippines GCash Full time ₱104,000 - ₱130,878 per yearDo you want to take the first step in making Filipinos' lives better everyday? Here in GCash we want to stay at the forefront of the FinTech industry by creating innovative, meaningful, and convenient financial solutions for the nation G ka ba? Join the G Nation today RESPONSIBILITIES Overall Lead in the Distributor Core Work Process Act as a link...
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Associate Email Deliverability Specialist
2 days ago
General Santos, Soccsksargen, Philippines beBeeDeliverability Full time $60,000 - $100,000Join us to apply for an exciting opportunity as an Associate Email Deliverability Analyst. As a key member of our team, you will play a critical role in ensuring the smooth delivery of emails to our Heroes.About this role:Key ResponsibilitiesResearch and solve complex delivery and deliverability challenges for our users.Assist users with issues related to...
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Intake Specialist Opportunity
1 day ago
General Santos, Soccsksargen, Philippines beBeeCustomer Full time ₱277,080 - ₱446,400Financial Customer Service Representative OpportunityAre you a customer-focused individual with strong communication skills? Do you have experience working in a fast-paced environment and a passion for delivering exceptional service?As a Financial Customer Service Representative, you will be responsible for responding to incoming calls, gathering and...