Healthcare Claims Representative

We are looking for an experienced Healthcare Claims Representative to join our growing teamQualifications:Minimum 2 years of Healthcare Claims experienceBackground in billing and claims processingCollege graduateStrong attention to detail and analytical skillsWilling to work onsite in MakatiCan start ASAPJob Package:₱33,500 total compensation packageIf you...

Work Set-Up: In-Office Training Required | Potential for Remote Work After TrainingLocation: Makati, ValeroExpected Start Date: December 8, 2025Position Summary:We are seeking a dynamic and experienced Healthcare Claims Adjudication Lead to oversee our growing healthcare team. This role is pivotal in ensuring timely, accurate, and compliant processing of...

Healthcare Claims Processor Supervisor | Urgent HiringWork Set-Up: In-Office Training Required | Potential for Remote Work After TrainingLocation: Makati, ValeroExpected Start Date: December 8, 2025Position Summary:We are seeking a dynamic and experienced Healthcare Claims Processor Supervisor to oversee our growing Claims team. This role is pivotal in...

Role DescriptionThis is a full-time, on-site role for a Healthcare Representative located in Baliuag. The Healthcare Representative will handle daily customer interactions, provide outstanding customer service, and educate clients about healthcare solutions. The role involves building strong professional relationships, providing training and support for...

NOW HIRING: Healthcare BPO ProfessionalsHealthcare Claims Representative (Pre-bill Medical Recovery Department)Location: Makati CityWork Setup: Return to Office (RTO) | Graveyard ShiftAbout the RoleThe Pre-bill Medical Recovery (PMR) team works on behalf of emergency room physician groups to identify and bill the correct insurance for ER visits before the...

ROLE AND RESPONSIBILITIESResponsible in triaging assigned client claims and make determinations on opening cases for medical record review, in addition, the team also does a thorough review of medical records/documentation and claim history to identify aberrant patterns or trends and exercise independent decision making to determine appropriate...

SUMMARYThe Claims Manager oversees the claims process, ensuring timely, accurate, and compliant review of claims.ESSENTIAL DUTIES AND RESPONSIBILITIESEnsures compliance with state and federal laws and regulations for Managed Care and other third party payorsMaintains a thorough understanding of Managed Care concepts including HMO, PPO, POS, EPO and...

Bachelor's Degree holder (must be a college graduate) At least 2 years of Healthcare International BPO experience (Data entry-only roles not qualified) Excellent communication & analytical skills Willing to work onsite in Makati on a graveyard shift

We're Hiring: Provider Dispute Claims Processor We are seeking an experienced Provider Dispute Claims Processor this role is responsible for reviewing, researching, adjudicating medical claims and resolving provider disputes in compliance with regulatory guidelines and internal policies. This role requires strong analytical skills, a high level of accuracy,...

The American Accreditation Association (AAA), an ISQua-certified global accreditation body, is seeking a distinguished leader based in Phillippinesto serve as our Country Representative.Your Role: Represent AAA as its trusted voice and presence in Phillippines Build strong partnerships with hospitals, clinics, and healthcare organizations. Promote AAA's...