Medical Claims Associate

About the RoleWe are seeking a highly skilled Medical Claims Specialist 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 processing medical claims and ensuring that all transactions are completed efficiently and accurately.The successful candidate will be responsible...

Job SummaryWe are seeking an experienced Medical Biller to join our team as a Medical Claims Specialist. In this role, you will be responsible for managing and resolving medical claims, collaborating with the supervisory team to improve processes, and communicating effectively with patients and insurance carriers.Responsibilities:Manage and resolve medical...

We are seeking an experienced Medical Claims Examiner to join our team at JOB MATCHMAKER. As a Medical Claims Examiner, you will play a crucial role in ensuring that all medical claims are processed accurately and efficiently.Your key responsibilities will include:Evaluating claims to determine their validity and accuracy;Verifying the completeness of claim...

**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 PenbrothersWe strive to be a leading HR & remote talent management partner, offering talented Filipinos 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 that aims to establish a new standard of affordable, preventative care beyond traditional...

We are looking for a highly skilled Medical Claims Adjudication Professional to join our team at Trinity Workforce Solutions, Inc. in Makati. As a Medical Claims Adjudication Professional, you will play a critical role in ensuring that health insurance claims are processed accurately and efficiently.About the RoleThe Medical Claims Adjudication Professional...

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...

Job Description:The Medical Office Associate will be responsible for managing dental claims from submission to resolution, ensuring timely and accurate approvals. This involves coordinating with insurance companies, communicating with clients and dental professionals, and maintaining detailed records of claims and authorizations.Responsibilities:Manage...

About ECLAROECLARO is a professional services firm that provides strategic staffing, permanent placement, custom outsourcing & offshoring services to clients worldwide.We are committed to delivering exceptional results and exceeding client expectations.Key responsibilities of this role include:Reviewing Claim SubmissionsPreparing Claim FormsRecording 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...

Job SummaryThe Arch Insurance team is seeking a highly skilled Claims Administrator to join our dynamic team. As a Claims Administrator, you will play a critical role in the triaging, identification, and allocation of incoming claims related correspondence.Main ResponsibilitiesAnalyze initial claim notifications, including coverage verification and...

Key ResponsibilitiesAnalyze initial claim notifications, including coverage verification and associated checksUpdate existing claims and process them into the Company's systemsBooking transactions into the Company's systemProcess claims payments including providing supporting informationMaintain Company's electronic claims filesReview and verify broker...

OverviewThe Claims Administrator is responsible for the triaging, identification and allocation of incoming claims related correspondence and assisting the Claims team as required with tasks including, but not limited to, processing reinsurance claims, claims reporting, and document management.ResponsibilitiesAnalyze initial claim notifications, including...

ResponsibilitiesThe Medical Billing Specialist - AR will be responsible for:Navigating multiple online portals to manage claims efficiently.Regularly communicating with payers to resolve claim issues.Investigating claim denials to identify effective solutions.Managing claim adjustments to ensure accurate payments.Following up on outstanding claims to prevent...

Responsibilities:Acknowledge receipt of Claim requests.Upload claim documents to case in the health claims system.Validate claim details in the health claims system.Update Claim status and notes in the health claims system.Update TPA file for endorsement to Claims Control Team.Adhere to service standards of processing administrative requests.Ensure complete...

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...

BAU Responsibilities:Directly responsible for the adjudication and approval of death, critical illness, TPD, hospitalization benefit of all individual and group insurance claims within his/her approval limit and within the agreed turnaround time.Ensures that the life claims benefits are paid out in accordance with existing Philippine life insurance laws 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...