Medical Claims Processor

1 week ago


Manila, National Capital Region, Philippines Cognizant Full time

About Cognizant:

Cognizant is a leading provider of business consulting and operational services, helping our clients achieve their strategic goals. Our team is dedicated to delivering high-quality solutions that meet the evolving needs of our clients.

Job Summary:

We are seeking a skilled Medical Claims Processor to join our team in Cebu. As a Medical Claims Processor, you will be responsible for processing medical claims, verifying patient information, and ensuring accurate billing.

Key Responsibilities:

  1. Process medical claims, verify patient information, and ensure accurate billing
  2. Collaborate with healthcare professionals to resolve claim disputes and issues
  3. Analyze data to identify trends and areas for process improvement
  4. Develop and maintain relationships with internal stakeholders to ensure seamless claim processing
  5. Stay up-to-date on regulatory requirements and industry developments

Required Skills and Qualifications:

  • Bachelor's degree in Nursing, Physical Therapy, or Occupational Therapy
  • Familiarity with CPT codes, ICD-9, ICD10, itemized medical and hospital bills, hospital records
  • Proficient in basic medical terminology and medical bill processing experience recommended
  • At least 6 months BPO work experience (Voice) preferably in handling healthcare claim inquiries
  • Amenable to working onsite in Cebu and shifting schedules


  • Manila, National Capital Region, Philippines TakeCare Asia Philippines, Inc. Full time

    Job SummaryWe are seeking a highly skilled Medical Claims Specialist to join our team at TakeCare Asia Philippines, Inc. This is an exciting opportunity for a motivated individual to utilize their expertise in claims management, coordination of benefits, and provider appeals.About the RoleThe ideal candidate will have a strong background in medical-related...

  • Claims Processor

    3 days ago


    Manila, National Capital Region, Philippines Dempsy Resource Management Inc. Full time

    RESPONSIBILITIES:- Evaluates claims receive by checking the completeness of documents, necessity and reasonableness of expenses. - Encoding and simplification of diagnosis-data entry. - Conducts routine reconciliation of Outstanding Accounts with Providers to be reported to Provider Relation Department. - Ensures that all medical claims documents are...


  • Manila, National Capital Region, Philippines BroadPath Global Solutions Inc. Full time

    Job DescriptionWe are seeking an experienced Medical Claims Expert to join our innovative healthcare team at BroadPath Global Solutions Inc. The ideal candidate will have a strong background in medical claims processing and be proficient in evaluating coverage, calculating benefits, and ensuring compliance with national guidelines and company policies.The...


  • Manila, National Capital Region, Philippines Jade Solutions and Management Services Full time

    Job Summary:We are seeking a highly detail-oriented and organized Medical Claims Specialist to join our team at Jade Solutions and Management Services. In this role, you will be responsible for evaluating claims received by checking the completeness of documents, necessity, and reasonableness of expenses.Key Responsibilities:Evaluating medical claims and...


  • Manila, National Capital Region, Philippines Hunters Hub Inc. Full time

    Job DescriptionAt Hunters Hub Inc., we are seeking a highly skilled Medical Claims Specialist to join our team.Responsibilities:Assess and adjudicate hospitalization claims in real-time, ensuring timely processing and effective communication with customers.Conduct thorough analysis of medical documents to make informed claims decisions, demonstrating...

  • Master Data Processor

    15 hours ago


    Manila, National Capital Region, Philippines Fresenius Medical Care Full time

    Are you looking for a new challenge in the field of procurement? Fresenius Medical Care has an exciting opportunity for a Master Data Processor to join our team. In this role, you will be responsible for the active processing of master data for the operational and transactional purchase process (Procure to Pay Process).You will ensure that procurement data...


  • Manila, National Capital Region, Philippines Cognizant Full time

    About Cognizant:Cognizant is a leading provider of IT consulting and business process outsourcing services. Our expertise spans across industries, including healthcare, finance, and retail.Job Summary:We are seeking a highly motivated Medical Claims Processor to join our team in Cebu. As a Medical Claims Processor, you will be responsible for processing...


  • Manila, National Capital Region, Philippines Linkage Foods Ventures Corporation Full time

    As an Asset Recovery Processor at Linkage Foods Ventures Corporation, your primary responsibility will be to process and recover assets through efficient claims resolution. The goal is to ensure that marketing activities and promotions are reimbursed in a timely and accurate manner.Responsibilities:Process and recover assetsManage debit notes and accruals in...

  • Claims Analyst

    6 days ago


    Manila, National Capital Region, Philippines MicroSourcing Full time

    Discover your full potential with MicroSourcing.About the RoleThis is a fantastic opportunity to become an integral part of our team as a Claims Processor Analyst. In this role, you will be responsible for processing complex insurance tasks, operating various client systems independently, and optimizing operations by analyzing problems and developing...


  • Manila, National Capital Region, Philippines UST Full time

    As a Healthcare Claims Specialist at UST, you will play a crucial role in processing new claims and modifying existing ones according to the appropriate and applicable action. This involves analyzing claims to determine the correct course of action to approve or deny payment.You will be responsible for determining accurate payment criteria for clearing...


  • Manila, National Capital Region, Philippines BroadPath Global Solutions Inc. Full time

    About the RoleBroadPath Global Solutions Inc. is seeking a highly skilled Healthcare Data Analyst to join our team. As a Claims Processor, you will be responsible for reviewing and processing medical claims, ensuring accuracy and timeliness.This is an excellent opportunity for a Medical Claims Expert to utilize their skills in a remote setting and make a...


  • Manila, National Capital Region, Philippines BroadPath Global Solutions Inc. Full time

    About the CompanyBroadPath Global Solutions Inc. is a leading provider of innovative healthcare solutions. We are seeking a highly skilled Medical Claims Expert to join our team as a Claims Processor.The successful candidate will have a strong background in medical claims processing and be proficient in evaluating coverage, calculating benefits, and ensuring...


  • Manila, National Capital Region, Philippines Manila Doctors Hospital (Manila Medical Services Inc.) Full time

    The Medical Billing Specialist is responsible for managing the financial aspects of patient care. This includes preparing and submitting claims, communicating with patients and insurance companies, and resolving billing discrepancies.Key Responsibilities:Review and prepare patient charts for accurate billing.Submit claims to insurance companies and manage...


  • Manila, National Capital Region, Philippines JobsAvenuePH Full time

    We're looking for a dedicated and detail-oriented IDR Claims Support Specialist to join our team at JobsAvenuePH. This is a full-time work-from-home position that offers the opportunity to work with an Australian claims management services company. Our ideal candidate will have a strong understanding of claims processing and management...


  • Manila, National Capital Region, Philippines BroadPath Global Solutions Inc. Full time

    Job SummaryWe are seeking a highly skilled Claims Processing Specialist to join our team at BroadPath Global Solutions Inc. The ideal candidate will have a strong background in medical claims processing and be proficient in evaluating coverage, calculating benefits, and ensuring compliance with national guidelines and company policies.The successful Remote...


  • Manila, National Capital Region, Philippines United Coconut Planters Life Assurance Corp (Cocolife) Full time

    United Coconut Planters Life Assurance Corp (Cocolife) requires a skilled Claims Associate to handle the following duties: logging received claims, evaluating and processing claims, generating requests for payment, and maintaining accurate claims records.Essential Skills and Qualifications:Medical allied or relevant experience in the healthcare industry...


  • Manila, National Capital Region, Philippines Hunters Hub Inc. Full time

    Claims Adjudication Expert Job SummaryAt Hunters Hub Inc., we are seeking a highly skilled Claims Adjudication Expert to join our team, specializing in hospitalization claims assessment and adjudication.Responsibilities:Assess and adjudicate hospitalization claims, ensuring timely processing and effective communication with customers.Conduct thorough...


  • Manila, National Capital Region, Philippines United Coconut Planters Life Assurance Corp (Cocolife) Full time

    The Claims Associate role at United Coconut Planters Life Assurance Corp (Cocolife) involves handling received claims from partner providers and/or clients, evaluating and processing claims efficiently. This includes generating requests for payment, facilitating check accommodations, accurately transmitting checks, and maintaining up-to-date claims...


  • Manila, National Capital Region, Philippines Pearl Full time

    We're currently seeking a skilled Billing Specialist to join our team. As a key member of our operations department, you'll be responsible for managing billing processes, resolving denied claims, and maintaining compliance with regulatory requirements.The successful candidate will have a strong understanding of insurance billing processes, including CPT...


  • Manila, National Capital Region, Philippines ADDMORE Outsourcing - A Division of ADDMORE Services LLC Full time

    Job Overview:We are looking for a skilled Healthcare Claims Specialist to join our team at ADDMORE Outsourcing. This individual will be responsible for managing patient billing, handling insurance claims, and providing accurate coding for medical procedures and diagnoses.Key Responsibilities:Accurately assign ICD-10, CPT, and HCPCS codes to patient diagnoses...