Medical Claims Examiner
4 weeks ago
Your Go to Recruiter is seeking a detail-oriented Medical Claims Examiner to join our team in Sta. Ana Balibago Angeles City Pampanga Office.
Job SummaryThe successful candidate will be responsible for reviewing and analyzing healthcare claims for accuracy, completeness, and adherence to contractual agreements and regulatory guidelines.
Key Responsibilities:- Claim Review and Analysis
➢ Verify member eligibility and benefits coverage for submitted claims.
Coding Accuracy and Services Rendered➢ Evaluate medical documentation to assess the appropriateness of services rendered and coding accuracy.
Adjudication and Communication➢ Adjudicate claims accurately and efficiently within established turnaround times.
Compliance and Fraud Detection➢ Identify and investigate potential fraudulent or abusive billing practices.
Collaboration and Record-Keeping➢ Communicate claim decisions, payment details, and denials to providers and members effectively.
Maintaining Records and Collaboration➢ Collaborate with other departments, such as Provider Relations and Customer Service, to resolve claim-related issues and inquiries.
We offer a competitive salary of $16,000, along with a comprehensive benefits package that includes opportunities for growth and professional development.
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Medical Claims Examiner
2 weeks ago
Angeles City, Central Luzon, Philippines Your Go to Recruiter Full timeWe are seeking a highly detail-oriented Medical Claims Examiner to join our team at Your Go-to Recruiter. In this role, you will be responsible for reviewing and analyzing healthcare claims to ensure accuracy, completeness, and adherence to contractual agreements and regulatory guidelines.The ideal candidate will have strong analytical and communication...
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Medical Claims Examiner
2 weeks ago
Angeles City, Central Luzon, Philippines Your Go to Recruiter Full timeJob Description:We are seeking a skilled Medical Claims Examiner to join our team at the Sta. Ana Balibago Angeles City Pampanga office.Key Responsibilities:Review and analyze healthcare claims for accuracy, completeness, and adherence to contractual agreements and regulatory guidelines.Verify member eligibility and benefits coverage for submitted...
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Senior Healthcare Claims Examiner
2 weeks ago
Cebu City, Central Visayas, Philippines TASQ Staffing Solutions Full timeJob SummaryWe are seeking a Senior Healthcare Claims Examiner to join our team at TASQ Staffing Solutions.About the RoleThis is a challenging and rewarding opportunity for a detail-oriented professional to work in a dynamic environment. As a Senior Healthcare Claims Examiner, you will be responsible for ensuring the accuracy and efficiency of healthcare...
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Medical Claims Specialist
1 month ago
Cebu City, Central Visayas, Philippines Virtual Ventures Full timeWe are seeking a skilled Medical Billing Specialist to manage the end-to-end medical billing process for our mental health practice. This role plays a critical role in ensuring accurate billing, timely reimbursement, and smooth workflow management.Manage the full medical billing cycle from patient registration to payment posting and account...
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Medical Billing Specialist
1 month ago
Cebu City, Central Visayas, Philippines Virtual Ventures Full timeWe are seeking a skilled Medical Billing Specialist to collaborate with our team at Virtual Ventures. This key role plays a vital part in ensuring accurate billing, timely reimbursement, and efficient workflow management.Main Responsibilities:- Manage the entire medical billing cycle from patient registration to payment posting and account reconciliation.-...
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Medical Billing Specialist
1 week ago
Cebu City, Central Visayas, Philippines Virtual Ventures Full timeWe are seeking an experienced and detail-oriented medical billing specialist to join Virtual Ventures onsite in Cebu. The ideal candidate will have a strong background in the end-to-end medical billing process and hands-on experience with Tebra, Advanced MD.Key Responsibilities:- Manage the full medical billing cycle from patient registration to payment...
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Cebu City, Central Visayas, Philippines Virtual Ventures Full timeAt Virtual Ventures, we're seeking an experienced and detail-oriented Medical Billing Specialist to join our team. As a key member of our mental health billing process, you'll play a critical role in ensuring accurate billing, timely reimbursement, and smooth workflow management.About the RoleThis position requires a strong background in the end-to-end...
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Medical Billing Specialist
3 weeks ago
Cebu City, Central Visayas, Philippines Virtual Ventures Full timeOverview:Virtual Ventures is seeking an experienced and detail-oriented Medical Billing Specialist with expertise in mental health billing to join our team. We are a fast-paced virtual company that requires exceptional professionals like you to ensure accurate billing, timely reimbursement, and smooth workflow management.About the Role:We are looking for a...
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Virtual Clinical Process Specialist
2 weeks ago
Tarlac City, Central Luzon, Philippines MetHealth PH Full timeMetHealth PH is seeking a skilled Virtual Clinical Process Specialist to join our team. As a specialist, you will provide direct patient care and monitor patients' health conditions, administering medications and treatments in a CPO setting.The ideal candidate must have at least one year of clinical experience or two years of hospital bedside experience....
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Medical Billing Specialist
3 weeks ago
Cebu City, Central Visayas, Philippines Virtual Ventures Full timeJob Summary: We are seeking a highly skilled and detail-oriented Medical Billing Specialist to join our team at Virtual Ventures. This full-time position plays a critical role in ensuring accurate billing, timely reimbursement, and smooth workflow management.About the Role: As a key member of our team, you will be responsible for managing the full medical...
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Healthcare Professional
3 weeks ago
Cebu City, Central Visayas, Philippines RecruiterPH Full timeJob SummaryWe are seeking a skilled and compassionate Healthcare Professional to serve as our Medical Services Coordinator.About the RoleThis is a dynamic opportunity for an experienced Registered Nurse to join our team at RecruiterPH. As a Medical Services Coordinator, you will be responsible for providing medical services and dispensing medicines to...
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Medical Care Specialist
1 week ago
Cebu City, Central Visayas, Philippines Recruiter PH Full timeWe are seeking a Medical Care Specialist to join our team at DYNINNO Philippines.Job OverviewDYNINNO Philippines is a part of an international group with facilities in India, Colombia, Egypt, Latvia, and Moldova. We leverage cutting-edge technologies to excel in Data Processing, FinTech, and IT business divisions.The company has grown rapidly since its...
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Medical Care Professional
1 month ago
Cebu City, Central Visayas, Philippines RecruiterPH Full timeJob Title: Company NurseJob Summary: We are seeking a dedicated and skilled Company Nurse to join our team at RecruiterPH. The successful candidate will be responsible for providing medical services and support to our employees.Key Responsibilities:Administer first aid and provide medical care to employees as needed.Evaluate employees' overall health and...
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Radiologic Technologist
3 weeks ago
Cebu City, Central Visayas, Philippines Southwestern University, Inc. Full timeSouthwestern University, a leading tertiary general hospital, seeks an experienced Radiologic Technologist to join its team. This exciting opportunity offers a competitive salary of $55,000 per annum.About the RoleAs a Radiologic Technologist at Southwestern University, you will be responsible for operating imaging equipment, positioning patients, and...
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Cebu City, Central Visayas, Philippines Southwestern University, Inc. Full timeJob DescriptionWe are seeking a highly-driven Medical Professional to join our team at Southwestern University Medical Center as a Pharmacist. The ideal candidate will possess excellent communication skills, good coordination and organization skills, and the ability to work harmoniously with superiors and co-workers.About the RoleReview and prepare...
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Clinical Services Manager
1 month ago
Cebu City, Central Visayas, Philippines ETeam PH Full timeClinical Services Manager Operational Management: Lead daily clinic operations, ensuring efficient delivery of healthcare services.Policy Compliance: Implement and enforce standard clinic policies and guidelines to maintain high-quality care.Form Management: Develop and track clinic forms to streamline data collection and reporting. Health and Safety:...
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Radial Imaging Specialist
1 month ago
Cebu City, Central Visayas, Philippines Southwestern University, Inc. Full timeSouthwestern University Medical Center is seeking a highly skilled Radial Imaging Specialist to join their team. As a Radiologic Technologist, the ideal candidate will have a strong foundation in medical imaging and a keen eye for detail.Key Responsibilities:Operate imaging equipment and devices as necessaryPosition patients and provide mobilization as...
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Clinical Operations Specialist
1 month ago
Cebu City, Central Visayas, Philippines Eteam Workforce Private Corporation Full timeClinical Operations SpecialistManage daily clinic operations to ensure seamless delivery of healthcare services.Develop and implement standard clinic policies and guidelines to maintain high-quality patient care.Design and track clinic forms to improve data collection and analysis.Collaborate with healthcare professionals to ensure compliance with health and...
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Senior Healthcare Professional
3 weeks ago
Cebu City, Central Visayas, Philippines Eteam Workforce Private Corporation Full timeAbout Eteam Workforce Private CorporationAt Eteam Workforce Private Corporation, we are dedicated to providing exceptional healthcare services to our employees. Our team is committed to delivering high-quality medical care in a professional and compassionate manner.Job SummaryWe are seeking a highly skilled and experienced Corporate Nurse to join our team in...
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Corporate Healthcare Professional
1 week ago
Cebu City, Central Visayas, Philippines Eteam Workforce Private Corporation Full timeJob Title:Corporate NurseAbout the Job:Eteam Workforce Private Corporation is seeking a skilled Corporate Nurse to join our team. This role is ideal for a registered nurse with experience in corporate healthcare settings.Key Responsibilities:Manage daily clinic operations, ensuring seamless patient care and efficient service delivery.Maintain standard clinic...