Medical Claims Examiner

Job OverviewWe are seeking a skilled Medical Claims Specialist to join our team at Manpower Core Group Inc. This role involves providing support to the clinical team and client team, determining customer eligibility, assessing medical appropriateness of claims submitted, and paying all covered claims accurately and timely.Responsibilities* Provide...

Metacom is a leading provider of healthcare services, and we are committed to hiring talented individuals who share our vision for excellence.As a Medical Billing Associate, you will play a critical role in ensuring that our patients receive timely and accurate billing information.You will be responsible for posting payments, working with patients and...

Company OverviewManpower Core Group Inc. is a leading staffing solutions provider dedicated to connecting talented professionals with top employers across various industries. Our mission is to deliver exceptional service, ensuring seamless matches between job seekers and clients alike.Job Responsibilities* Provide comprehensive support to the clinical team...

Company OverviewBonifacio Motors, Inc. is a leading provider of automotive solutions in the Philippines. We pride ourselves on delivering exceptional customer service and fostering strong relationships with our clients and partners.We are seeking an experienced Motor Vehicle Claim Specialist to join our team. In this role, you will be responsible for...

The Medical Coding Trainer is responsible for providing training for both new and existing coders.Duties And Responsibilities:Assists in developing modules for medical coding training (CD-10-CM, CPT, HCPCS)Maintains knowledge on ICD 10 CM, ICD 10 PCS, CPT and HCPCS coding guidelinesUpdates existing training modulesDevelops and produce materials for inpatient...

The Medical Coding Trainer Specialist will play a pivotal role in developing and implementing medical coding training programs for our team. This individual will be responsible for creating engaging training materials, updating existing content, and providing expert guidance to new and existing coders.Key ResponsibilitiesDevelop training modules for medical...

Job SummaryWe are seeking a skilled Medical Coding Specialist to join our team at Med-Metrix. As a key member of our coding department, you will be responsible for reviewing patient records, assigning accurate codes, and ensuring compliance with regulatory guidelines.ResponsibilitiesCode Review and Analysis: Utilize your expertise to thoroughly examine...

Responsibilities:-Provide support to the clinical team and client team.-Determine customer eligibility by reviewing contractual language and medical documentation.-Assess medical appropriateness of claims submitted, and adjust claims as needed.-Pay all covered claims accurately and timely.-Manage both new claims and open claims equally and maintains decision...

Job OverviewWe are seeking a skilled Medical Coding Specialist to join our team at Med-Metrix.The successful candidate will possess a strong understanding of medical coding principles and be able to apply this knowledge in a fast-paced environment.Key Responsibilities:Accurate Coding: Responsible for thoroughly reviewing patient records and ensuring all...

Role DescriptionWe are seeking a highly skilled Certified Medical Coder to join our team at Med-Metrix.The successful candidate will possess a strong understanding of medical coding principles and be able to apply this knowledge in a fast-paced environment.Duties and ResponsibilitiesCode Review: Responsible for thoroughly reviewing patient records and...

Responsibilities: Provide support to the clinical team and client team. Determine customer eligibility by reviewing contractual language and medical documentation. Assess medical appropriateness of claims submitted, and adjust claims as needed. Pay all covered claims accurately and timely. Manage both new claims and open claims equally and...

Responsibilities: Provide support to the clinical team and client team. Determine customer eligibility by reviewing contractual language and medical documentation. Assess medical appropriateness of claims submitted, and adjust claims as needed. Pay all covered claims accurately and timely. Manage both new claims and open claims equally and...

Responsibilities:Provide support to the clinical team and client team.Determine customer eligibility by reviewing contractual language and medical documentation.Assess medical appropriateness of claims submitted, and adjust claims as needed.Pay all covered claims accurately and timely.Manage both new claims and open claims equally and maintain decision...

Benefits and Working ConditionsA competitive compensation package, including comprehensive health insurance.A clothing allowance and free lunch daily.Paid Time Off and opportunities for internal mobility.This role offers a unique opportunity to make a meaningful impact in the healthcare industry while enjoying a supportive work environment.

We are seeking a skilled and organized Help Desk Coordinator to join our team at Metacom.In this role, you will be responsible for:Posting payments in a timely and efficient manner.Working closely with patients and healthcare providers to resolve any claims-related issues.Ensuring compliance with filing guidelines to minimize the risk of claim...

ResponsibilitiesOrganize and direct the daily activities of the Accounts Receivable Teams (Onshore/Offshore) as it relates to Insurance Follow-up/Revenue Cycle Management.Distribute workload to team, monitor and review performance.Monitor and analyze productivity of the Accounts Receivable Teams and completes employee evaluations.Fields questions from team...

About the RoleThe Operations Supervisor, AR Follow Up is a critical position within our organization, responsible for managing and supporting a team of Medical Claims Analysts. Your key objectives will include monitoring client performance, providing operational support, and ensuring adherence to medical billing policies and procedures.You will work closely...

About Our CompanyHive Health's VisionWe strive to revolutionize access to quality healthcare for Filipinos through our cutting-edge digital health plans.Our expertise in care provision and innovative tech capabilities make us a leader in the industry.The RoleThis Medical Adjudication Specialist will contribute to optimized healthcare operations by reviewing,...

About Hive HealthOur GoalWe aim to provide the best-in-class health plans for SMEs in the Philippines through our innovative tech capabilities.Our team of experts works together to deliver exceptional patient experiences and seamless service delivery.The PositionThis Medical Adjudication Specialist will play a crucial role in optimizing healthcare operations...

About Hive Health Pte LtdCompany OverviewHive Health Pte Ltd is part of the Hive Health Group of Companies, committed to providing comprehensive digital health plans for small-medium enterprises (SMEs) in the Philippines.The company's 30+ years of experience in care provision and innovative tech capabilities enable the Hive Health Group to offer hassle-free...