Healthcare Claims Specialist
3 days ago
As a skilled Healthcare Claims Specialist, you will play a vital role in the healthcare industry by collecting unpaid claims and providing exceptional customer service. Your primary responsibility will be to interact with customers, gather support data to ensure invoice accuracy, and work through specific claims discrepancies.
Key Responsibilities
- Collect unpaid claims and resolve any issues related to billing and payment.
- Provide input to policies, systems, methods, and procedures for effective management and control of the premium collection function.
- Educate customers regarding the availability of receiving claims and remitting payments through online applications.
- Monitor outstanding balances and take appropriate actions to ensure clients pay as billed.
- Manage the preparation of invoices and complete reconciliation of billing with accounts receivables.
Requirements
- Bachelor's degree from an accredited institution.
- At least 1 year of experience in claims, payment, and collection under healthcare accounts in a BPO setting or environment.
- Experience in conducting calls, preferably outbound.
- Background in healthcare collection or Revenue Cycle Management (RCM) is highly desirable.
- Strong customer service, communication, and computer skills are essential.
What We Offer
- Competitive salary and benefits package.
- Opportunities for career growth and professional development.
- A dynamic and supportive work environment.
- Recognition and rewards for outstanding performance.
-
Healthcare Claims Examiner
6 days ago
Manila, National Capital Region, Philippines Cognizant Full timeJob Summary:We are seeking a skilled Healthcare Claims Examiner to join our team in Cebu. As a Healthcare Claims Examiner, you will be responsible for reviewing and analyzing medical claims, identifying any discrepancies or issues that may impact reimbursement.Your Key Responsibilities:Analyze and process medical claims, ensuring accuracy and compliance with...
-
Healthcare Claims Coordinator
3 days ago
Manila, National Capital Region, Philippines Systemantech Inc. Full timeAbout This OpportunityWe are seeking a Healthcare Claims Coordinator to join our team at Systemantech Inc. As a key member of our claims department, you will be responsible for reviewing and processing patient claims in a timely and efficient manner.Main DutiesReview patient claims to ensure accurate and complete information.Process claims according to...
-
Healthcare Claims Collector
6 days ago
Manila, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full timeJob Description:We are seeking a highly skilled Healthcare Claims Collector to join our team. As a key member of our revenue cycle management group, you will be responsible for collecting unpaid medical claims from healthcare providers and patients.Responsibilities:Gather support data to ensure invoice accuracy and resolve claims discrepancies.Interact with...
-
US Medical Claims Specialist
5 days ago
Manila, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full timeJob OverviewThe US Medical Claims Specialist role at Optum, a UnitedHealth Group Company, is a critical position that plays a key part in the company's mission to improve the healthcare experience of millions of people worldwide. In this function, you will be responsible for managing healthcare unpaid claims, interacting with customers to gather support...
-
Healthcare Claims Expert
7 days ago
Manila, National Capital Region, Philippines RMLPH Full timeThis role involves working with various stakeholders, including patients, healthcare providers, and insurance companies, to ensure seamless billing and claims processing.Key Requirements:Strong attention to detail and organizational skillsAbility to work independently and collaboratively as part of a teamWe are looking for a skilled and dedicated individual...
-
Medical Insurance Claims Specialist
4 days ago
Manila, National Capital Region, Philippines Hunters Hub Inc. Full timeJob DescriptionHunters Hub Inc. is seeking a skilled Medical Insurance Claims Specialist to join our team.About the Role:Assess and adjudicate medical claims for insured members in real-time, ensuring timely and accurate decision-making.Analyze medical documents to determine claim validity and make informed decisions.Communicate effectively with clients and...
-
Healthcare Claims Representative
4 days ago
Manila, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full timeExperience these exceptional benefits when you join Med-Metrix8-Hour Shifts, Fixed Weekends OffDay 1 HMO with 2 of your dependents covered for FREEMedical Cash AllowanceRice AllowanceClothing AllowanceFree Lunch DailyPaid Time OffTraining and Staff DevelopmentEmployee Engagement ActivitiesOpportunities for Internal MobilityJob PurposeThe Healthcare Claims...
-
Claims Processing Specialist
6 days ago
Manila, National Capital Region, Philippines InLife Health Care Full timeJob Overview:InLife Health Care seeks a skilled Claims Processing Specialist to handle reconciliation requests from accredited providers.About the Position:The successful candidate will be responsible for reviewing and processing claims, coordinating with providers, and ensuring timely updates on claim status.Main Duties:Claims Review and CoordinationCompare...
-
Healthcare Account Specialist
4 days ago
Manila, National Capital Region, Philippines Nexus Recruitment Group Full timeAbout the Role:We are seeking an experienced Healthcare Account Specialist to join our team. In this role, you will provide excellent customer support by assisting patients, healthcare providers, and other stakeholders with inquiries related to healthcare services and products.Responsibilities:Respond to customer inquiries and resolve issues in a timely and...
-
Medical Claims Specialist
1 day ago
Manila, National Capital Region, Philippines Med-Metrix Full timeAt Med-Metrix, we are looking for a skilled Medical Claims Analyst to join our team. The ideal candidate will have at least 1 year of experience in the healthcare industry and a strong foundation in healthcare terminologies.Job DescriptionWe require a detail-oriented professional with expertise in claims and denial management. Experience with EPIC tools is...
-
Claims Specialist
4 days ago
Manila, National Capital Region, Philippines TakeCare Asia Philippines, Inc. Full timeJob DescriptionWe are seeking a highly skilled Claims Specialist to join our team at TakeCare Asia Philippines, Inc. As a Claims Specialist, you will play a crucial role in ensuring the accuracy and efficiency of our claims process.Key Responsibilities:Investigate all possible Medicare and other insurance COB information utilizing the Medicare verification...
-
Health Claims Specialist
5 days ago
Manila, National Capital Region, Philippines Trinity Workforce Solutions Inc. Full timeJob OverviewWe are seeking a skilled Health Claims Officer to join our team at Trinity Workforce Solutions Inc. As a key member of our organization, you will be responsible for managing and processing health insurance claims in a timely and efficient manner.About the RoleThe successful candidate will work closely with our clients and stakeholders to ensure...
-
Claims Specialist
6 days ago
Manila, National Capital Region, Philippines Trinity Insurance and Reinsurance Brokers, Inc Full timeJob SummaryAs a Junior Claims Specialist, you will be responsible for attending to, assessing, and resolving claims related to motor and non-motor insurance lines.You will work closely with the account management team and insurance partners to ensure that clients' needs are met promptly and efficiently.
-
Healthcare Team Supervisor
5 days ago
Manila, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full timeJob Summary: We are seeking a highly skilled Team Leader to join our team at Access Healthcare Services Manila, Inc. As a Team Leader, you will be responsible for overseeing the operations of our Pharmacy Utilization account and ensuring that our team delivers exceptional results.Key Responsibilities:Manage a team of professionals handling pharmacy...
-
Claims Resolution Specialist
5 days ago
Manila, National Capital Region, Philippines Shopee Full timeJob DescriptionWe are seeking a highly skilled Claims Resolution Specialist to join our team at Shopee. As a Claims Resolution Specialist, you will be responsible for investigating and processing claims related to lost, damaged, or delayed goods in transit.Gather evidence to support claims, including pre-shipment videos and photos, and work closely with our...
-
Claims Management Specialist
6 days ago
Manila, National Capital Region, Philippines Bonifacio Insurance Broker Corporation Full timeKey ResponsibilitiesClaims Management: The Insurance Claims Supervisor will be responsible for coordinating with insurers and clients to ensure timely resolution of insurance claims. This includes ensuring that claims decisions are fair and adhere to insurance policy contract coverage, terms, and conditions.Team Supervision: The supervisor will lead and...
-
Claims Resolution Specialist
4 days ago
Manila, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full timeJob OverviewMED-METRIX INTERNATIONAL PH-I, INC. is seeking a skilled Claims Resolution Specialist to join our team.The successful candidate will be responsible for collecting payments, resolving account discrepancies, and ensuring timely billing and allowance posting.Key ResponsibilitiesFollow up with payers via phone, email, or fax to resolve outstanding...
-
Healthcare Associate
4 days ago
Manila, National Capital Region, Philippines Omega Healthcare Management Services Inc. Full timeAbout the RoleWe are seeking a skilled Clinical Authorization Specialist to join our team at Omega Healthcare Management Services Inc.This role is ideal for individuals with a passion for delivering exceptional patient care and a strong understanding of healthcare regulations.
-
Healthcare Collections Specialist
16 hours ago
Manila, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full timeRole OverviewThe position of Medical Claims Analyst is critical in allowing our members, families, facilities, and health professionals to have greater confidence in the exceptional care we provide. As a Medical Claims Analyst, you will be responsible for accounts receivable collections, follow-up, involves denial management, claims payment processing...
-
Medical Claims Processor
2 days ago
Manila, National Capital Region, Philippines Med-Metrix Full timeJob PurposeThe Medical Claims Processor serves as a key member of the healthcare team by processing medical claims, resolving issues, and communicating with patients.Key ResponsibilitiesClaims Processing: Process medical claims, review for accuracy, and ensure timely submissionPatient Communication: Communicate with patients regarding claim status, payment...