Claims Representative

7 days ago

Pasig, National Capital Region, Philippines Connext Full time $25,000 - $40,000 per year

Connext Global Solutions
is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for an
Claims Resolutions Specialis
t
who will be working with Connext's Client in the United States of America

***.

What's in it for yo***

  • u?Competitive compensati
  • onPerfect Attendance Bon
  • usLife insuran
  • ceHMO Insuran
  • ceGreat company cultu
  • reAnnual Merit Increa
  • se25% Night Differenti
  • alCompany provided equipmen
  • t Work Onsite in Ortig

***as

What is the j***

ob?T
he Claims Resolutions Special
ist is responsible for following up on health insurance claims and resolving denied claims through thorough investigation and problem-solving. This role ensures timely reimbursement by addressing root causes of denials and working with insurance companies to secure paymen

  • ts.

Spends 6-8 hours of day making claims ca
- lls.Spends hold times basic-statusing claims using provider port
- als.Conducts claim follow-up/denial resolution every 2 weeks minimum per cl

***aim.

Required Qualificat***

  • ions:High school diploma or an equivalent combination of education and related work experi
  • ence.At least two (2) years of experience in in claims processing or a similar role in the healthcare or insurance indu
  • stry.Must have a stable employment his

tory.

  • Billing and Claims Staff

    2 weeks ago

    Pasig, National Capital Region, Philippines Dialysis Care Plus Full time ₱400,000 - ₱600,000 per year

    Billing and Claims StaffVerification and DocumentationClaims ProcessingCoordination with Patients and PhilHealth RepresentativesBilling ManagementClaims MonitoringAccounting SupportAdministrative & Coordination Tasks

  • Medical Claims Analyst

    1 week ago

    Pasig, National Capital Region, Philippines Risewave Consulting, Inc. Full time ₱900,000 - ₱1,200,000 per year

    Job PurposeThe representative is responsible for collections, account follow up, billing and allowance posting for the accounts assigned to them.Duties and ResponsibilitiesFollow-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...

  • Medical Claims Analyst- AR

    2 days ago

    Pasig, National Capital Region, Philippines HCM Nexus Full time $40,000 - $60,000 per year

    Job DescriptionWe are looking for a Medical Claims Analyst (AR) to join our growing US Healthcare team. This role involves handling both inbound and outbound calls (30% outbound) to ensure accurate and timely resolution of accounts receivable and medical claims. You'll collaborate with healthcare providers and insurance representatives to process claims...

  • Medical Billing Representative

    5 days ago

    Pasig, National Capital Region, Philippines Lennor Group Full time ₱250,000 - ₱500,000 per year

    Our brand, Lennor Metier Consulting , a DOLE-licensed headhunting and recruitment agency in the Philippines, is proud to partner with a reputable RCM Company in their search for a Medical Billing Representative based in Ortigas .Start Date: September 29, 2025Work Setup : OnsiteShift Schedule : Night Shift (9PM onwards)Location : OrtigasThe roleThe Medical...

  • BPO Healthcare Customer Service Representative – US Billing

    7 days ago

    Pasig, National Capital Region, Philippines Stark Asia Solutions, Inc Full time ₱396,000 per year

    Kickstart Your BPO Career as a Customer Service RepresentativeJoin one of the leading BPO companies in the Philippines and become part of a dynamic, people-focused team. We're looking for passionate individuals with excellent communication skills who are ready to deliver outstanding customer experiences. If you're eager to grow your career in a fast-paced...

  • Customer Service Representative

    2 weeks ago

    Pasig, National Capital Region, Philippines Risewave Consulting, Inc. Full time ₱150,000 - ₱250,000 per year

    Job description:We are looking for dedicated Customer Service Representatives (CSR) for a Healthcare Account that will be responsible for handling customer inquiries, providing accurate information, and delivering excellent service to ensure customer satisfaction.Key Responsibilities:Answer incoming calls, chats, or emails from customers in a professional...

  • Billing Support Representative – BPO CSR US Account

    2 days ago

    Pasig, National Capital Region, Philippines Stark Asia Solutions, Inc Full time ₱24,000 - ₱33,000 per year

    Kickstart Your BPO Career as a Customer Service RepresentativeJoin one of the leading BPO companies in the Philippines and become part of a dynamic, people-focused team. We're looking for passionate individuals with excellent communication skills who are ready to deliver outstanding customer experiences. If you're eager to grow your career in a fast-paced...

  • CSR Healthcare Account

    2 days ago

    Pasig, National Capital Region, Philippines Eastvantage Full time ₱250,000 - ₱450,000 per year

    We're Hiring: CSR Healthcare Account - Claims and Billing We are seeking a dedicated and detail-oriented Customer Service Representative (CSR) for our Healthcare Account specializing in Claims and Billing. The ideal candidate will have experience in healthcare processes, excellent communication skills, and the ability to handle customer inquiries...

  • Customer Service Representative

    2 weeks ago

    Pasig, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full time ₱300,000 - ₱450,000 per year

    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 Call Center...

  • Customer Service Representative

    2 weeks ago

    Pasig, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full time ₱250,000 - ₱500,000 per year

    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 Call Center...