Medical Claims Medical

17 hours ago


Makati City, National Capital Region, Philippines Equicom Services, Inc. Full time

Equicom Services, Inc. is now looking for Medical Claims Processor who can work onsite.

Office Address: 3F Equicom Center 3308 Zapote St., Brgy. Sta. Cruz, Makati City

Qualifications

  • Graduate of any 4 year medical related courses / Undergrad at least 3rd year level
  • Open for fresh graduates
  • Excellent oral and written communication skills
  • Ability to multi-task while working under minimal supervision
  • Computer literate with proficiency in MS Office, using MS Word and Excel
  • Willing to be trained
  • With Strong analytical skills
  • Willing to be assigned in Makati & Binondo

What to expect?

  • Paid Training
  • Full time and onsite
  • 5 days of work
  • HMO upon regularization
  • Paid SL & VL upon regularization

Primary Duties And Responsibilities

  • Ensure that claims assigned are completed within turnaround time
  • Ensure that batches are completed and uploaded
  • Prioritize completion of PPD, Aging, and ASAP Batches
  • Process and adjudicate the claims assigned
  • Evaluate the claims based on Account's Benefits
  • Ensure to meet daily/weekly/monthly target production
  • Ensure that all returned claims from Claims QC - IP are correctly edited
  • Ensure the quality of claims to be submitted for approval
  • Escalate scanning-related issues
  • Correct tagging of pending claims
  • Return claims that are not valid for process to provider/hospital
  • Comply with the organizations information security and data privacy policies, procedures, and guidelines to ensure the protection of sensitive data, safeguarding the confidentiality, integrity, and availability of all information. This includes adhering to established protocols for securely handling, storing, and transmitting data while ensuring compliance with applicable legal and regulatory requirements
  • Attend mandatory annual Information Security (InfoSec) and Data Privacy Act (DPA) awareness training to stay informed about the latest security practices and maintain compliance with relevant obligations


  • Makati City, National Capital Region, Philippines Medical Supply Inc. Full time

    We are hiring several Medical Billers to join our team in Makati City A Medical Biller is responsible for submitting medical claims to insurance companies and payers.Responsibilities:Input new claims, determine eligibility for claims processing, processing payments through both automated and manual information systems, conduct billing research and respond to...


  • Makati City, National Capital Region, Philippines iCARE - Insular Health Care, Inc. Full time

    JOB PURPOSE:Responsible for analyzing, adjudicating, auditing, and processing 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)JOB QUALIFICATIONS:Graduate of Bachelor of Science in Nursing or any related medical course - FRESH GRADUATES...


  • Makati City, National Capital Region, Philippines InLife Health Care Full time

    JOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (Member's Reimbursement) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements).Principal Accountability:Ensures accurate and timely processing of claims from medical service providers within authority limits. This...


  • Makati City, National Capital Region, Philippines Ascendion Full time

    Job Description / Roles and ResponsibilitiesProcess life insurance claimsEnsure accurate benefits payouts to insurance customersPerform data clean-up and related administrative tasksQualifications / SkillsExperience:1–2 years of work experience in life insurance operations or claims processingExperience in non-life insurance or health insurance is also...


  • Makati City, National Capital Region, Philippines Clinilab Medical Services, Inc. Full time

    As a Medical Records Associate/Documentation Officer at Clinilab Medical Services, Inc.—a trusted medical facility serving overseas workers and seafarers since 1991—you will ensure the integrity, accuracy, and timely release of all medical documentation and examination records. You will work closely with clinicians, laboratory staff, partner agencies,...


  • Quezon City, National Capital Region, Philippines The Medical City Full time

    I. Purpose of the PositionThis role is responsible for carrying out laboratory tests and procedures and prepares necessary results.II. Key Result Areas | Duties and ResponsibilitiesA. Patient Care AdministrationExplains laboratory procedures to patientsChecks specimens or samples as to their condition, acceptability, and appropriateness to the testEnsures...


  • Makati City, National Capital Region, Philippines MTG Medical Clinic Inc. Full time

    Job Title: Registered Medical TechnologistCompany: MTG Medical Clinic Inc.Location: Makati CityEmployment Type: Full-TimeWe are seeking a highly meticulous and patient-focused Registered Medical Technologist (RMT) to join our clinic team. The RMT is crucial for ensuring the accurate and efficient execution of all laboratory services, patient care, and...

  • Medical Coder

    1 week ago


    Quezon City, National Capital Region, Philippines CF Outsourcing Solutions Full time

    Job Summary:We are seeking a detail-oriented and experienced Certified Medical Coder specializing in wound care billing to join our team. The ideal candidate will have a strong understanding of coding guidelines, medical terminology, and payer policies related to wound care services. The individual will be responsible for accurately assigning CPT,...


  • Marikina City, National Capital Region, Philippines Premiere Medical and Cardiovascular Laboratory Inc. Full time

    Job Qualifications:Bachelor's Degree in Medical Technology, or Clinical/Medical Laboratory Science.Must be a Registered Medical Technologist with a valid license from the professional board.Knowledgeable/Proficient in performing laboratory tests in areas such as Clinical Chemistry, Hematology, Serology, Immunology, Clinical MicroscopyExcellent attention to...


  • Makati City, National Capital Region, Philippines Clinilab Medical Services, Inc. Full time

    Pay: ₱695.00 per dayJob description:As a Medical Records Data Entry Encoder & Services Aide at Clinilab Medical Services, Inc.—a leading diagnostic and examination facility for overseas workers and seafarers since 1991—you will ensure the integrity, accuracy, and accessibility of patient records. You will split your time between high‑volume data...