URGENT: Medical Claims Specialist

Job Qualifications: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 SYSTEM.Willing to work ...

Work Setup: On-site, Full-timeWork Schedule: Shifting schedule (may include holidays)Salary Range: PHP 25,000 – 33,000Start Date: Immediately⸻ Job SummaryWe are looking for experienced Medical Billing Specialists to join our Healthcare – Revenue Cycle Management (RCM) account. The ideal candidate will handle medical billing processes, insurance claim...

ResponsibilitiesDescription % of Time SpentAnalyze and process information received/not received to decide if claim moves to IGO or if claim follows our NIGO process where a determination is made on the claim. 25%Communicate, both written and verbally with claimants, employers, beneficiaries, and medical providers regarding claim status and to obtain/collect...

Responsibilities:Description % of Time SpentAnalyze and process information received/not received to decide if claim moves to IGO or if claim follows our NIGO process where a determination is made on the claim. 25%Communicate, both written and verbally with claimants, employers, beneficiaries, and medical providers regarding claim status and to...

We are seeking aPersonal Injury Claims Managerto lead, strategize, and optimize the firm's Personal Injury (PI) claims operations across multiple teams. This role plays a critical part in driving case efficiency, ensuring compliance with U.S. PI standards, and enhancing overall client experience and claim outcomes.The ideal candidate brings deep expertise in...

About IglooIgloo (formerly Axinan) is the first full-stack insurtech firm to emerge from Singapore. With offices across Singapore, Indonesia, Thailand, the Philippines, Vietnam, Malaysia, China and India, Igloo is fueled by a mission of making insurance accessible and affordable for all. Igloo's innovation solutions empower companies to eliminate operational...

Access Healthcare is currently looking for Claims Configuration Specialist to be part of our team The Claims Configuration Specialist is responsible for configuring  all aspects of health plan benefit, fee schedule setup, managing our pre-pay edits, analysis, mapping, testing, troubleshooting, and implementation. The ideal candidate will act as a liaison...

Benefits:HMO up to 3 dependents for free15% night diff (10pm-6am)Annual AppraisalPerformance BonusRetirement BenefitFixed Weekends OffPHRN license allowanceResponsibilities:As an Accident ClaimsAnalyst in this fast-paced environment, every single day offers new challenges and the ability to use excellent analytical, multitasking, prioritization, and...

Responsible for auditing inpatient medical records to ensure clinical documentation supports the conditions and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims.Primary duties may include, but are not limited to:Analyzes and audits claims by integrating medical chart coding principles, clinical guidelines, and...

Your day-to-day:Review and verify the claims documentation, including medical records, claim forms, and supporting paperwork are aligned with the applicable and appropriate claimInput claim information accurately into the claims management system, ensuring all details are captured for proper claims processingAssess the completeness of the claim files against...