Medical Claims Specialist

**Job Overview**Sourcefit DR is seeking a detail-oriented Medical Claims Specialist to manage the billing process for our facilities.The successful candidate will be responsible for ensuring accurate coding of patient services, submitting claims to insurance companies, and resolving billing discrepancies.This role requires expertise in substance abuse...

Job Summary:At Dempsy Resource Management Inc., we are seeking a highly skilled Medical Claims Analyst to join our team. As a Claims Validation Specialist, you will play a crucial role in ensuring the accuracy and completeness of medical claims.About the Role:Evaluate claims received by assessing the completeness of documents, the necessity and...

About the RoleWe are seeking a highly skilled Medical Officer to join our team at Amaphil (Advanced Medical Access Philippines Inc.). As a key member of our organization, you will play a vital role in providing excellent medical services to our clients.The successful candidate will be responsible for managing patient care, processing medical claims, and...

PRIMARY FUNCTIONS:1. Provides AMAPHIL members with a holistically positive and pleasant medical availment experience in the accredited providers.2. Addresses members' concerns regarding their AMAPHIL coverage benefits.3. Monitors daily patient's progress chart to know patient's needs.4. Issues benefit reference, LOAs to the accredited providers every time...

About the Position:We are looking for a skilled Claims Validation Specialist to join our team at Dempsy Resource Management Inc. As a Healthcare Data Encoder, you will be responsible for evaluating and processing medical claims.Key Responsibilities:Evaluate claims received by reviewing the completeness of documents and the necessity and reasonableness of...

At Dempsy Resource Management Inc., we are seeking a skilled Medical Claims Examiner to join our team. As a Medical Claims Examiner, you will be responsible for evaluating claims received by checking the completeness of documents, necessity and reasonableness of expenses.We are looking for a detail-oriented individual with excellent analytical skills to...

About PenbrothersPenbrothers is an HR & remote talent management partner and one of the fastest growing companies in the Philippines. We provide talented Filipinos with global opportunities in high-growth startups and dynamic companies, from the comfort of their own homes.About the ClientOur client is a venture-backed startup with a mission to establish a...

VCC Link is a leading provider of pet insurance solutions, and we are seeking a talented Veterinary Claims Specialist to join our team. As a key member of our organization, you will be responsible for evaluating veterinary claims and providing exceptional service to our clients.About the TeamWe are a dynamic and supportive team that is passionate about...

Job Title: Health Claims SpecialistCompany OverviewHunter's Hub Inc. is a leading provider of health insurance solutions, dedicated to delivering exceptional service to our clients. As a Health Claims Specialist, you will play a critical role in ensuring that our members receive the benefits they deserve.Job DescriptionAssess and adjudicate hospitalization...

Position Summary:The Medical Billing Specialist - AR will play a vital role in our financial team with the primary responsibility of handling all aspects of claims management, from investigation to resolution. This involves reviewing and analyzing the status of claims, navigating various online portals, and regularly communicating with payers. The position...

Key ResponsibilitiesMonitor Claim Status: Ensure prompt and accurate payment by tracking the status of medical claims.Resolve Rejections/Denials: Research and implement measures to prevent future occurrences.Document Account Activities: Maintain accurate and up-to-date records of account activities.Collections Management: Post adjustments and manage...

Job OverviewThe Medical Billing Specialist – AR/Collection role is a critical component of our revenue cycle process. We are seeking an experienced professional to join our team and contribute to the accurate and timely billing of medical claims.

About the RoleWe are seeking a highly skilled Medical Billing Specialist to join our team at Sourcefit DR. As a key member of our financial team, you will play a crucial role in managing our claims process.Your primary responsibility will be to handle all aspects of claims management, from investigation to resolution. This includes reviewing and analyzing...

Work Set-up: RemoteSchedule: 9:00 PM – 6:00 AM PHTJob Summary: We are seeking a detail-oriented Medical Billing Specialist to join our team. The successful candidate will be responsible for managing the billing process for our facilities, ensuring accurate coding of patient services, submitting claims to insurance companies, resolving billing...

Job Title: Medical Claims Liaison OfficerCompany OverviewHunter's Hub Inc. is a trusted name in the health insurance industry, committed to delivering high-quality service to our members. As a Medical Claims Liaison Officer, you will be responsible for facilitating effective communication between healthcare providers, patients, and our team.Job...

About the RoleWe are seeking a highly skilled Healthcare Professional to join our team at Amaphil (Advanced Medical Access Philippines Inc.). As a key member of our organization, you will play a vital role in providing excellent medical services to our clients.The successful candidate will be responsible for managing patient care, processing medical claims,...

Company OverviewAt Manpower Core Group Inc., we are committed to delivering exceptional service and quality care to our patients. As a Medical Billing Specialist, you will play a vital role in ensuring that our patients receive the best possible care by facilitating smooth communication between our team and patients.Job DescriptionWe are seeking a highly...

A Claims Adjudicator is responsible for reviewing and evaluating insurance claims to determine their validity and the extent of coverage based on policy terms. This role involves analyzing medical records, verifying information, applying policy guidelines, and approving or denying claims accurately while ensuring compliance with regulatory standards.

About the RoleWe are seeking a highly skilled Vehicle Claims Specialist to join our team. As a specialist in this field, you will be responsible for assessing and managing vehicle claims from initial reporting to final resolution.Key Responsibilities:Conduct thorough assessments of damaged vehicles to determine extent of damage and cost of repairs.Develop...

At Pointwest, we are seeking an experienced Medical Billing Specialist to join our team in the Emergency Room. The ideal candidate will possess a strong understanding of CPT, ICD-10, and HCPCS coding, as well as insurance guidelines.ResponsibilitiesUpdate patient medical records in the billing platformPrepare and submit accurate billing data and medical...