Claims Staff

Description of the Functions of the DepartmentThe department is responsible for processing the claims and determining whether payment should be made. The department ensures that the following are observed:Checks validity/compensability of claims based on the plan coverage/balance and limits up-to-date membership fee payment (active status) completeness of...

Job Qualifications:SHS Graduate or Completed at least 2 years of college.Minimum 12 months experience in Healthcare Account Receivable/Collections in a BPO setting.Familiarity with UB Claims and UB04 forms.Experience in medical billing/AR collections.Background in calling insurance (Payer) for claim status and payment disputes.Familiar with EPIC...

Hospital Information/HMO Staff manage and coordinate services between patients, the hospital, and accredited Health Maintenance Organizations (HMOs), handling patient inquiries, verifying member IDs and coverage, facilitating admissions and consultations, processing necessary paperwork, and ensuring smooth credit and collection processes. They act as a...

Discover your 100% YOU with MicroSourcingPosition: Claims SpecialistWork setup & shift: Onsite and Night ShiftSite: 1880 Building, Eastwood Libis, Quezon CityWhy join MicroSourcing?You'll HaveCompetitive Rewards: Enjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life...

About the role We are looking for an enthusiastic and organised Admin Staff/ Philhealth Clerk to join our team at Kaiser Medical Center, a key healthcare facility located in Makati City, Metro Manila. In this full-time role, you will provide vital administrative support to ensure the smooth running of our medical centre.What we're looking forMust have work...

Job Title: Admin/Utility StaffLocation: Makati, ValeroJob Summary:We are looking for a dependable and hardworking Admin/Utility Staff to help maintain a clean, organized, and efficient office environment. This entry-level role supports day-to-day operations, including cleaning, restocking supplies, handling errands, and assisting with basic maintenance and...

Duties and Responsibilities:Daily TasksSave pictures from Viber to the designated Service Folder for each yard.Scan and organize releasing documents.Assist in preparing releasing documentation.Update and maintain Admin Monitoring reports.Edit and upload warranty claims as required.Weekly TasksCompile stencils for released units.Upload Pre-Delivery Inspection...

Duties and Responsibilities:Daily TasksSave pictures from Viber to the designated Service Folder for each yard.Scan and organize releasing documents.Assist in preparing releasing documentation.Update and maintain Admin Monitoring reports.Edit and upload warranty claims as required.Weekly TasksCompile stencils for released units.Upload Pre-Delivery Inspection...

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,...

I. Duties and Responsibilities:Collects delinquent accounts by establishing payment arrangements with patients; monitoring payments; following up with patients when payment lapses occur.Utilizes collection agencies and small claims court to collect accounts by evaluating and selecting collection agencies; determining appropriateness of pursuing legal...