US Medical Claims Specialist
6 days ago
The 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 data, and ensuring invoice accuracy.
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ASAP US Medical Claims
7 days ago
Manila, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full timePrimary 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...
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Medical Insurance Claims Specialist
6 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...
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Medical Claims and Billing Specialist
13 hours ago
Manila, National Capital Region, Philippines MicroSourcing Full timeDiscover 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...
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Medical Claims and Billing Expert
9 hours ago
Manila, National Capital Region, Philippines MicroSourcing Full timeAbout the RoleWe are seeking a skilled Medical Claims and Billing Specialist to join our team at MicroSourcing.This is an exciting opportunity for a detail-oriented professional who enjoys working in a fast-paced environment. As a Medical Claims and Billing Specialist, you will play a critical role in ensuring accurate and timely payment processing for...
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Medical Claims Processor
3 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...
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Medical Claims Examiner
9 hours ago
Manila, National Capital Region, Philippines John Clements Consultants, Inc. Full timeJob DescriptionWe are seeking a highly skilled Medical Claims Examiner to join our team at John Clements Consultants, Inc. As a Medical Claims Examiner, you will play a critical role in ensuring the timely and accurate processing of medical insurance claims.Duties and ResponsibilitiesReview and analyze individual and group medical insurance claims for...
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Medical Claims Specialist
3 days 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...
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Medical Claims Processor
6 days ago
Manila, National Capital Region, Philippines Nexus Recruitment Group Full timeJob Description:Nexus Recruitment Group is seeking a Medical Claims Processor to join our local healthcare account team. The ideal candidate will be a detail-oriented individual with strong communication skills and a willingness to learn.Responsibilities:Process medical claims and ensure accurate and timely payment.Review and analyze claim data to identify...
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Medical Claims Analyst
6 days ago
Manila, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full timeJob Title:We are seeking a detail-oriented and analytical Medical Claims Analyst to join our team at Med-Metrix International Ph-I, Inc.This individual will be responsible for reviewing medical claims for accuracy and completeness, identifying areas for improvement, and implementing corrective actions to enhance the overall quality of our services.Key...
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Insurance Claims Specialist
9 hours ago
Manila, National Capital Region, Philippines Private Advertiser Full timeAbout This Role:The Insurance Claims Specialist will play a vital role in processing medical claims efficiently and ensuring timely payments from insurance carriers.Responsibilities:Review and process medical claims, identifying and resolving any discrepancies.Communicate effectively with patients/providers regarding their billing inquiries.Collaborate with...
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Medical Claims Specialist
9 hours ago
Manila, National Capital Region, Philippines InLife Health Care Full timeCompany OverviewInLife Health Care is a dynamic organization dedicated to providing exceptional healthcare services. Our team is committed to delivering high-quality medical claims processing, ensuring timely and accurate payments to our customers.
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Medical Claims Examiner
5 days ago
Manila, National Capital Region, Philippines Nezda Technologies, Inc. Full timeAbout the Role">The Medical Claims Examiner position at Nezda Technologies, Inc. involves reviewing medical reports, job responsibilities, and insurance policies to determine eligibility for short-term and long-term disability benefits.">Key Responsibilities">Evaluate medical records, job roles, and insurance contracts to assess suitability for disability...
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Medical Claims Processor
13 hours ago
Manila, National Capital Region, Philippines InLife Health Care Full timeJOB 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...
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Dental Claims Specialist
6 days ago
Manila, National Capital Region, Philippines ZIA Full timeAbout the JobZIA is looking for a highly skilled Dental Claims Specialist to join our team. The successful candidate will have extensive experience in oral surgery billing and coding.ResponsibilitiesBilling and Coding: Accurately code dental oral surgery procedures using ICD-10, CPT, and CDT codes.Claims Submission: Submit clean, accurate, and timely claims...
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Medical Claims Analyst
4 days ago
Manila, National Capital Region, Philippines Med-Metrix Full timeOn-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...
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Medical Billing Specialist
9 hours ago
Manila, National Capital Region, Philippines KMC Solutions Full timeKMC Solutions is seeking a skilled Medical Billing Specialist to join our team in Ortigas CBD, Pasig. As an onsite independent contractor, you will be responsible for preparing and submitting clean claims to insurance companies via electronic and paper submissions.Key Responsibilities:Verify patient insurance eligibility and benefits before submitting...
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Medical Claims Operations Supervisor
2 days ago
Manila, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full timeMed-Metrix International Ph-I, Inc. is committed to providing exceptional benefits to our employees.The Operations Supervisor, AR Follow Up enjoys a comprehensive compensation package, including fixed weekends off, day one HMO coverage for two dependents, medical cash allowance, rice allowance, clothing allowance, free lunch daily, paid time off, training...
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Medical Claims Collector Specialist
9 hours ago
Manila, National Capital Region, Philippines Private Advertiser Full timeJob OverviewThe Private Advertiser is seeking a highly skilled Medical Claims Collector Specialist to join our team.Key ResponsibilitiesCollect payments from insurance companies, clients, and other payers in a timely and accurate manner.Contact insurance companies to resolve payment discrepancies and follow up on outstanding claims and appeals.Process...
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Medical Claims Liaison Officer
7 days ago
Manila, National Capital Region, Philippines Trinity Workforce Solutions Inc. Full timeJob DescriptionThe Health Claims Officer is a critical role within our organization, responsible for ensuring that all health insurance claims are accurately assessed and processed in a timely manner.About the JobThe successful candidate will have excellent analytical and problem-solving skills, with the ability to interpret complex medical data and...
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Claims Processor
13 hours ago
Manila, National Capital Region, Philippines BroadPath Global Solutions Inc. Full timeJoin our innovative healthcare team as a Claims Processor, working from the comfort of your home while making a meaningful impact on our members' lives. We're seeking an experienced professional to help advance our member-centric approach to healthcare through expert claims review and adjudication using our state-of-the-art claims system. As a Claims...