Medical Claims Representative

6 days ago


Manila, National Capital Region, Philippines Access Healthcare Services Manila, Inc. Full time

Access Healthcare Services Manila, Inc. is a leading healthcare provider seeking an experienced Customer Service Representative to join our Accounts Receivable team.

The ideal candidate will have a proven track record in accounts receivable, claims, billing, or collections and be fluent in English.

Key responsibilities include:

  • Managing assigned accounts receivable accounts or denied claims accounts through our workflow system
  • Conducting outbound calls to providers to verify their information before submitting insurance claims
  • Identifying and analyzing process gaps to optimize our revenue cycle
  • Affiliating our providers with payers or insurance companies
  • Diligently documenting actions taken, documentation sent to insurance companies, and any other notes from the call

Qualified candidates will also possess:

  • Prior experience working in a medical billing company and utilizing medical billing software
  • Knowledge of healthcare terminology
  • Willingness to work night shifts
  • Availability to work onsite at our Double Dragon, Pasay office


  • Manila, National Capital Region, Philippines Med-Metrix Full time

    About the RoleMed-Metrix is seeking a skilled Medical Claims Analyst to join our team.Duties and Responsibilities:Review and process medical claims in accordance with established guidelines and proceduresCommunicate effectively with healthcare providers and insurance companies to resolve claim issuesAnalyze claims data to identify opportunities for process...


  • Manila, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time

    This role involves processing and managing healthcare claims, with a focus on collections and revenue cycle operations.Key Responsibilities:Contract review and payment dispute resolutionProvider side support and UB04 form managementClaim status verification and unpaid claim collectionClaims payment processing and reconciliationTo succeed in this position,...


  • Manila, National Capital Region, Philippines RMLPH Full time

    RMLPH Manila, National Capital Region, PhilippinesTransforming Healthcare with Accurate BillingWe are seeking a highly motivated and detail-oriented individual to join our team as a Medical Claims Processor. In this role, you will play a critical part in ensuring accurate and timely billing, as well as claims processing and follow-up.You will work closely...


  • Manila, National Capital Region, Philippines John Clements Consultants, Inc. Full time

    Job PurposeThe representative is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to themDuties and Responsibilities:Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.Meets and maintains daily productivity/quality standards established in...


  • Manila, National Capital Region, Philippines InLife Health Care Full time

    JOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines and policies within the agreed SLAs (Service Level of Agreements).Minimum Requirements:Graduate of Bachelor of Science in Nursing or any related medical course.Above average...


  • Manila, National Capital Region, Philippines Trinity Insurance and Reinsurance Brokers, Inc Full time

    Job RequirementsTo succeed in this role, you will need to have strong analytical and communication skills, as well as experience in end-to-end claim processing. You should be proficient in Microsoft Suite Applications and have a Bachelor's degree in any course. Medically-aligned degrees have an advantage.Responsibilities:Work closely with team members to...


  • Manila, National Capital Region, Philippines RA ROCO INSURANCE BROKERS INC. Full time

    Job DescriptionWe are seeking a skilled Medical Claims Specialist to join our team at RA ROCO INSURANCE BROKERS INC. This role involves reviewing claim documents and reimbursement received from clients, ensuring timely submission to principals and following up on the status of claims.Key Responsibilities:Claim Review and Submission: Review claim documents...


  • Manila, National Capital Region, Philippines John Clements Consultants, Inc. Full time

    Job PurposeThis role is responsible for collecting, managing, and resolving accounts assigned to the representative. The position involves follow-up with payers to ensure timely resolution of all outstanding claims, utilizing various communication channels such as phone calls, emails, faxes, or online platforms.Duties and Responsibilities:Follow up on claims...


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

    Job OverviewWe are seeking a detail-oriented and organized Claims Analyst to join our team at TakeCare Asia Philippines, Inc.Responsibilities:Claims Processing:The successful candidate will review claims daily based on medical necessity, coverage guidelines, coding & payment standards, and applicable regulatory and compliance requirements.This position...


  • Manila, National Capital Region, Philippines Oceanic Full time

    Job SummaryOceanic seeks a highly skilled Claims Coordinator to join our team. As a Crew Claims Coordinator, you will be responsible for ensuring accurate and timely processing of medical claims for our crew members. This role requires strong communication skills, attention to detail, and ability to work collaboratively with various...


  • Manila, National Capital Region, Philippines Nipro Medical Philippines Corporation Full time

    About the Role:Nipro Medical Philippines Corporation seeks a skilled Medical Sales Representative to contribute to our sales and marketing team.The ideal candidate will have extensive experience in sales and marketing, with a strong background in renal care and dialysis equipment.The Medical Sales Representative will be responsible for identifying business...


  • Manila, National Capital Region, Philippines Cognizant Full time

    Job DescriptionWe are seeking a highly motivated Medical Claims Processor Lead to join our dynamic healthcare services team at Cognizant. As a key member of our team, you will be responsible for processing medical claims accurately and efficiently, ensuring seamless operations within our organization.About the RoleThis role requires strong analytical and...


  • Manila, National Capital Region, Philippines John Clements Consultants, Inc. Full time

    Job OverviewAt John Clements Consultants, Inc., we are seeking a skilled Medical Claims Analyst to join our team. This role is responsible for collections, account follow-up, billing, and allowance posting for assigned accounts.Key ResponsibilitiesWe will follow up with payers to ensure timely resolution of all outstanding claims via phone, emails, fax, or...


  • Manila, National Capital Region, Philippines Med-Metrix Full time

    On-site - Manila 1-3 Yrs Exp Diploma Full-timeJob DescriptionMed-Metrix is on URGENT HIRING I'm looking for interested applicants for the Medical Claims Analyst role who can join today's interview session.Qualifications:With at least 1 year of healthcare background (AR Background is a plus)Strong foundation with healthcare terminologiesStrong understanding...


  • Manila, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full time

    Experience these exceptional benefits when you join Med-Metrix8-Hour Shifts, Fixed Weekends OffDay 1 HMO with 2 of your dependents covered for FREEMedical Cash AllowanceRice AllowanceClothing AllowanceFree Lunch DailyPaid Time OffTraining and Staff DevelopmentEmployee Engagement ActivitiesOpportunities for Internal MobilityJob PurposeThe Healthcare Claims...


  • Manila, National Capital Region, Philippines access healthcare Full time

    Access Healthcare is searching for a Medical Insurance Claims Processor to join our team. In this critical role, you'll be handling inbound calls related to patient billing and accounts receivable, ensuring that claims are processed accurately and efficiently.You'll need strong English communication skills and experience with:Checking account balancesMaking...


  • Manila, National Capital Region, Philippines Aljeron Medical Enterprises, Inc. Full time

    Role DescriptionThis is a full-time on-site role for a Medical Device Sales Representative at Aljeron Medical located in Mandaluyong. The Sales Representative will be responsible for promoting and selling medical devices, with a focus on Urology, OB-GYN, and general surgical equipment. Daily tasks include engaging with clients, demonstrating product...


  • Manila, National Capital Region, Philippines VMed Medical Co Full time

    About the roleVMed Medical Co is seeking a dynamic and ambitious Medical Device Sales Representative to join our team in Manila City Metro Manila. In this full-time role, you will be responsible for driving sales and promoting our medical device products to healthcare professionals within the Pharmaceuticals & Medical Devices industry.What you'll be...


  • Manila, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time

    Primary Responsibilities:Contract reading of payment dispute.Working on the Provider side.Checking with the insurance to verify claim status and collect unpaid claims.Process claims payment, Denial Management, Claim statusing.JOB QUALIFICATIONSCompleted at least 2 years in college.With minimum 12 months experience of Healthcare Account Receivable/Collections...


  • Manila, National Capital Region, Philippines Optum, a UnitedHealth Group Company Full time

    Primary Responsibilities:Contract reading of payment dispute.Working on the Provider side.Checking with the insurance to verify claim status and collect unpaid claims.Process claims payment, Denial Management, Claim statusing.JOB QUALIFICATIONSCompleted at least 2 years in college.With minimum 12 months experience of Healthcare Account Receivable/Collections...