Medical Claims Examiner

2 weeks ago


Angeles City, Central Luzon, Philippines Your Go to Recruiter Full time

We are seeking a highly detail-oriented Medical Claims Examiner to join our team at Your Go-to Recruiter. In this role, you will be responsible for reviewing and analyzing healthcare claims to ensure accuracy, completeness, and adherence to contractual agreements and regulatory guidelines.

The ideal candidate will have strong analytical and communication skills, with the ability to work independently and as part of a team. You will be evaluating medical documentation to assess the appropriateness of services rendered and coding accuracy, and communicating claim decisions, payment details, and denials to providers and members effectively.

This is a full-time position working Monday through Friday, 8:30am-5:30pm, with a salary of approximately $16,000 per year. We offer a comprehensive benefits package, including opportunities for career growth and professional development.

  • Review and analyze healthcare claims for accuracy, completeness, and adherence to contractual agreements and regulatory guidelines.
  • Evaluate medical documentation to assess the appropriateness of services rendered and coding accuracy.
  • Communicate claim decisions, payment details, and denials to providers and members effectively.


  • Angeles City, Central Luzon, Philippines Your Go to Recruiter Full time

    Your Go to Recruiter is seeking a detail-oriented Medical Claims Examiner to join our team in Sta. Ana Balibago Angeles City Pampanga Office.Job SummaryThe successful candidate will be responsible for reviewing and analyzing healthcare claims for accuracy, completeness, and adherence to contractual agreements and regulatory guidelines.Key...


  • Angeles City, Central Luzon, Philippines Your Go to Recruiter Full time

    Job Description:We are seeking a skilled Medical Claims Examiner to join our team at the Sta. Ana Balibago Angeles City Pampanga office.Key Responsibilities:Review and analyze healthcare claims for accuracy, completeness, and adherence to contractual agreements and regulatory guidelines.Verify member eligibility and benefits coverage for submitted...


  • Cebu City, Central Visayas, Philippines TASQ Staffing Solutions Full time

    Job SummaryWe are seeking a Senior Healthcare Claims Examiner to join our team at TASQ Staffing Solutions.About the RoleThis is a challenging and rewarding opportunity for a detail-oriented professional to work in a dynamic environment. As a Senior Healthcare Claims Examiner, you will be responsible for ensuring the accuracy and efficiency of healthcare...


  • Cebu City, Central Visayas, Philippines Virtual Ventures Full time

    We are seeking a skilled Medical Billing Specialist to manage the end-to-end medical billing process for our mental health practice. This role plays a critical role in ensuring accurate billing, timely reimbursement, and smooth workflow management.Manage the full medical billing cycle from patient registration to payment posting and account...


  • Cebu City, Central Visayas, Philippines Virtual Ventures Full time

    We are seeking a skilled Medical Billing Specialist to collaborate with our team at Virtual Ventures. This key role plays a vital part in ensuring accurate billing, timely reimbursement, and efficient workflow management.Main Responsibilities:- Manage the entire medical billing cycle from patient registration to payment posting and account reconciliation.-...


  • Cebu City, Central Visayas, Philippines Virtual Ventures Full time

    We are seeking an experienced and detail-oriented medical billing specialist to join Virtual Ventures onsite in Cebu. The ideal candidate will have a strong background in the end-to-end medical billing process and hands-on experience with Tebra, Advanced MD.Key Responsibilities:- Manage the full medical billing cycle from patient registration to payment...


  • Cebu City, Central Visayas, Philippines Virtual Ventures Full time

    At Virtual Ventures, we're seeking an experienced and detail-oriented Medical Billing Specialist to join our team. As a key member of our mental health billing process, you'll play a critical role in ensuring accurate billing, timely reimbursement, and smooth workflow management.About the RoleThis position requires a strong background in the end-to-end...


  • Cebu City, Central Visayas, Philippines Virtual Ventures Full time

    Overview:Virtual Ventures is seeking an experienced and detail-oriented Medical Billing Specialist with expertise in mental health billing to join our team. We are a fast-paced virtual company that requires exceptional professionals like you to ensure accurate billing, timely reimbursement, and smooth workflow management.About the Role:We are looking for a...


  • Tarlac City, Central Luzon, Philippines MetHealth PH Full time

    MetHealth PH is seeking a skilled Virtual Clinical Process Specialist to join our team. As a specialist, you will provide direct patient care and monitor patients' health conditions, administering medications and treatments in a CPO setting.The ideal candidate must have at least one year of clinical experience or two years of hospital bedside experience....


  • Cebu City, Central Visayas, Philippines Virtual Ventures Full time

    Job Summary: We are seeking a highly skilled and detail-oriented Medical Billing Specialist to join our team at Virtual Ventures. This full-time position plays a critical role in ensuring accurate billing, timely reimbursement, and smooth workflow management.About the Role: As a key member of our team, you will be responsible for managing the full medical...


  • Cebu City, Central Visayas, Philippines RecruiterPH Full time

    Job SummaryWe are seeking a skilled and compassionate Healthcare Professional to serve as our Medical Services Coordinator.About the RoleThis is a dynamic opportunity for an experienced Registered Nurse to join our team at RecruiterPH. As a Medical Services Coordinator, you will be responsible for providing medical services and dispensing medicines to...


  • Cebu City, Central Visayas, Philippines Recruiter PH Full time

    We are seeking a Medical Care Specialist to join our team at DYNINNO Philippines.Job OverviewDYNINNO Philippines is a part of an international group with facilities in India, Colombia, Egypt, Latvia, and Moldova. We leverage cutting-edge technologies to excel in Data Processing, FinTech, and IT business divisions.The company has grown rapidly since its...


  • Cebu City, Central Visayas, Philippines RecruiterPH Full time

    Job Title: Company NurseJob Summary: We are seeking a dedicated and skilled Company Nurse to join our team at RecruiterPH. The successful candidate will be responsible for providing medical services and support to our employees.Key Responsibilities:Administer first aid and provide medical care to employees as needed.Evaluate employees' overall health and...


  • Cebu City, Central Visayas, Philippines Southwestern University, Inc. Full time

    Southwestern University, a leading tertiary general hospital, seeks an experienced Radiologic Technologist to join its team. This exciting opportunity offers a competitive salary of $55,000 per annum.About the RoleAs a Radiologic Technologist at Southwestern University, you will be responsible for operating imaging equipment, positioning patients, and...


  • Cebu City, Central Visayas, Philippines Southwestern University, Inc. Full time

    Job DescriptionWe are seeking a highly-driven Medical Professional to join our team at Southwestern University Medical Center as a Pharmacist. The ideal candidate will possess excellent communication skills, good coordination and organization skills, and the ability to work harmoniously with superiors and co-workers.About the RoleReview and prepare...


  • Cebu City, Central Visayas, Philippines ETeam PH Full time

    Clinical Services Manager Operational Management: Lead daily clinic operations, ensuring efficient delivery of healthcare services.Policy Compliance: Implement and enforce standard clinic policies and guidelines to maintain high-quality care.Form Management: Develop and track clinic forms to streamline data collection and reporting. Health and Safety:...


  • Cebu City, Central Visayas, Philippines Southwestern University, Inc. Full time

    Southwestern University Medical Center is seeking a highly skilled Radial Imaging Specialist to join their team. As a Radiologic Technologist, the ideal candidate will have a strong foundation in medical imaging and a keen eye for detail.Key Responsibilities:Operate imaging equipment and devices as necessaryPosition patients and provide mobilization as...


  • Cebu City, Central Visayas, Philippines Eteam Workforce Private Corporation Full time

    Clinical Operations SpecialistManage daily clinic operations to ensure seamless delivery of healthcare services.Develop and implement standard clinic policies and guidelines to maintain high-quality patient care.Design and track clinic forms to improve data collection and analysis.Collaborate with healthcare professionals to ensure compliance with health and...


  • Cebu City, Central Visayas, Philippines Eteam Workforce Private Corporation Full time

    About Eteam Workforce Private CorporationAt Eteam Workforce Private Corporation, we are dedicated to providing exceptional healthcare services to our employees. Our team is committed to delivering high-quality medical care in a professional and compassionate manner.Job SummaryWe are seeking a highly skilled and experienced Corporate Nurse to join our team in...


  • Cebu City, Central Visayas, Philippines Eteam Workforce Private Corporation Full time

    Job Title:Corporate NurseAbout the Job:Eteam Workforce Private Corporation is seeking a skilled Corporate Nurse to join our team. This role is ideal for a registered nurse with experience in corporate healthcare settings.Key Responsibilities:Manage daily clinic operations, ensuring seamless patient care and efficient service delivery.Maintain standard clinic...