Medical Claims Analyst
7 days ago
This position is ideal for individuals who excel in organizational tasks, have excellent communication skills, and can work effectively under pressure. As a Claims Resolution Specialist, you will be responsible for managing multiple claim files simultaneously, ensuring that all deadlines are met, and maintaining accurate records.
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Medical Claims Analyst
2 weeks ago
Makati City, National Capital Region, Philippines ActiveOne Health Full timeJob Summary:ActiveOne Health seeks a highly skilled Medical Claims Analyst to join our team. In this role, you will be responsible for analyzing medical information, processing claims, and communicating with stakeholders.Key Responsibilities:Analyze medical information to determine claim validityProcess claims in a timely and accurate mannerCommunicate with...
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Medical Claims Analyst
4 days ago
Makati City, National Capital Region, Philippines TASQ Staffing Solutions Full timeKey ResponsibilitiesProcess medical claims benefits for local and international accountsEnsure timely and accurate processing of claimsCollaborate with cross-functional teams to resolve claim-related issuesYour qualifications include at least 3-6 months of experience in processing medical claims benefits or related work.
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Medical Claims Processing Specialist
2 days ago
Makati City, National Capital Region, Philippines InLife Health Care Full timeJob Purpose:InLife Health Care seeks a highly skilled Medical Claims Reimbursement Analyst to join its team. The ideal candidate will be responsible for analyzing, adjudicating, auditing, and processing claims according to set medical guidelines and policies within agreed Service Level Agreements (SLAs).
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Medical Claims Analyst
1 week ago
Makati City, National Capital Region, Philippines Marine Benefits, Inc. Full timeHybrid - Makati 1-3 Yrs Exp Bachelor Full-timeJob DescriptionGovernment Mandated BenefitsInsurance Health & WellnessHMOOthersProfit SharingFree Meals, Retirement PlanMaternity & Paternity Leave, Parental Leave, Sick Leave, Solo Parent Leave, Special Leave for Women, Vacation LeaveWork-Life BalanceFlexible Hours, Work from HomeDescriptionAssure accurate...
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Medical Claims Reimbursement Analyst
2 days ago
Makati City, National Capital Region, Philippines InLife Health Care Full timeJOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (Member's Reimbursement) according to set medical guidelines and policies within the agreed SLAs (Service Level of Agreements).Principal Accountability:Ensures accurate and timely processing of claims from medical service providers within authority limits. This...
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Medical Claims Specialist
5 days ago
Makati City, National Capital Region, Philippines Eteam Workforce Private Corporation Full timeJob SummaryEteam Workforce Private Corporation is seeking a highly skilled Medical Claims Specialist to join our team. In this role, you will be responsible for assessing and adjudicating hospitalization claims of insured members, analyzing medical documents, and ensuring seamless health customer journeys.Main ResponsibilitiesAssess and adjudicate real-time...
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Medical Claims Professional
7 days ago
Makati City, National Capital Region, Philippines Marine Benefits, Inc. Full timeJob DescriptionWe are seeking a highly skilled Medical Claims Professional to join our team at Marine Benefits, Inc. This individual will be responsible for ensuring accurate and timely insurance claims adjudication.Assure accurate insurance claims adjudication in a timely manner.Submit invoices/claims utilization reports on time.Validate member documents...
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Medical Claims Examiner
2 weeks ago
Makati City, National Capital Region, Philippines Dempsy Resource Management Inc. Full timeAbout UsDempsy Resource Management Inc. is a leading provider of resource management solutions.Job OverviewWe are seeking an experienced Claims Processor to join our team. As a Claims Processor, you will be responsible for evaluating claims received by checking the completeness of documents, necessity and reasonableness of expenses, and encoding and...
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Medical Claims Professional
2 weeks ago
Makati City, National Capital Region, Philippines Hunter's Hub Inc. Full timeJob OverviewHunter's Hub Inc. is a leading provider of health insurance solutions, and we are currently looking for a Medical Claims Professional to join our team.Responsibilities:Adjudicate hospitalization claims in a timely manner.Analyze medical documentation to make informed decisions.Ensure seamless coordination between patients and providers.Key...
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Medical Claims Examiner
1 day ago
Mandaluyong City, National Capital Region, Philippines RelianceUnited Full timeJob OverviewWe are seeking a highly skilled Medical Claims Examiner to join our team at RelianceUnited. In this role, you will be responsible for processing medical claims in a timely and efficient manner, analyzing claim information, and making decisions regarding claim coverage or denial.
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Medical Claims Coordinator
21 hours ago
Quezon City, National Capital Region, Philippines MetHealth Full timeWe are looking for a highly organized and detail-oriented Medical Claims Coordinator to support our clinical claims team. The successful candidate will be responsible for handling secondary reviews of non-approved medications and participating in continuous improvement efforts for claims accuracy.Key Requirements:Bachelor's degree in a related field2+ years...
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Senior Medical Claims Processor
7 days ago
Quezon City, National Capital Region, Philippines Pointwest Full timePointwest is seeking a Senior Medical Claims Processor to join our team. In this role, you will be responsible for processing and submitting medical claims to insurance companies, Medicare, Medicaid, and third-party payers.You will work closely with our healthcare professionals to ensure that all claims are accurately processed and submitted in a timely...
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Insurance Claims Analyst
7 days ago
Makati City, National Capital Region, Philippines Hunter's Hub Inc. Full timeAt Hunter's Hub Inc., we are seeking a skilled Insurance Claims Analyst to join our team. The successful candidate will assist claims officers in drafting settlement, decision, and temporary closure letters.The ideal candidate will have experience in processing life insurance claims and adjudicating health or life claims for at least 2 years. A bachelor's...
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Clinical Claims Analyst
3 days ago
Makati City, National Capital Region, Philippines AIA Hong Kong and Macau Full timeResponsibilitiesThis role involves the following key responsibilities:Monitors and checks the performance of the reimbursements for accurate and efficient processing of check payments to members/claimants and express payment bills.Evaluates medical cases properly and ensures that claims are accurate and complete.Coordinates with doctors' offices and...
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Remote Medical Claims Processor
6 days ago
Quezon City, National Capital Region, Philippines Sourcefit DR Full timeJob Description:We are seeking a skilled Remote Medical Claims Processor to join our team at Sourcefit DR. As a key member of our revenue cycle department, you will be responsible for researching and resolving claim rejections and denials, as well as documenting all account activities accurately and in a timely manner.About the Team:Our remote team works...
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Claims Analyst
4 weeks ago
Quezon City, National Capital Region, Philippines ECLARO Full timeECLARO Quezon City, National Capital Region, PhilippinesClaims AnalystECLARO Quezon City, National Capital Region, Philippines3 days ago Be among the first 25 applicantsRole Title: Claims AnalystECLARO: A quick SummaryECLARO is an award-winning professional services firm headquartered in New York City and operating in the U.S., Canada, UK, Ireland, Australia...
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Claims Operations Analyst
7 days ago
Quezon City, National Capital Region, Philippines ECLARO Full timeECLARO Quezon City, National Capital Region, PhilippinesClaims Operations AnalystECLARO is an award-winning professional services firm headquartered in New York City and operating in the U.S., Canada, UK, Ireland, Australia and the Philippines. We are dedicated to a singular purpose: providing the Right People to meet every client's needs and solve business...
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Claims Professional
2 weeks ago
Makati City, National Capital Region, Philippines JOB MATCHMAKER Full timeAbout UsJOB MATCHMAKER is a leading provider of innovative solutions in the field of medical claims processing.Job DescriptionWe are seeking a highly skilled Claims Processor to join our team. In this role, you will be responsible for evaluating claims by checking the completeness of documents, necessity and reasonableness of...
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Medical Claims Specialist
2 weeks ago
Quezon City, National Capital Region, Philippines Sourcefit DR Full timeAbout the Role:The Medical Claims Specialist will play a vital role in our financial team with the primary responsibility of handling all aspects of claims management. This involves reviewing and analyzing the status of claims, navigating various online portals, and regularly communicating with payers.Key Responsibilities:Navigate Different Online Portals:...
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Claims Specialist
2 weeks ago
Makati City, National Capital Region, Philippines Trinity Insurance and Reinsurance Brokers, Inc Full timeCOMPANY PROFILE:Trinity is a full-line insurance broker that provides products and services in both General Insurance and Employee Benefits. For more than three decades, Trinity has transformed the lives of its clients and customers, redefining what it means to be in the business of insurance by creating products and services that are customized,...