Medical Claims Specialist

Job PurposeFollow-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 departmental policies.Uses the workflow system, client host system and other tools available to them to collect payments and resolve accounts.Adheres to the policies...

Connext Global Solutionsis 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 a MedicaClaims Resolution Specialistwho will be working with Connext's...

Key ResponsibilitiesReview denied medical claims to determine reasons for denial (coding errors, missing information, medical necessity, eligibility, etc.).Collect, organize, and verify supporting documentation needed for appeals or audits.Prepare and submit claim audit packets for internal review or external payor reconsideration.Collaborate with clinical...

We are looking for a Medical Claims Analyst – AR to join our team. This role involves handling U.S. healthcare provider billing, managing accounts receivable collections, and completing various claims-related tasks. The ideal candidate has strong analytical skills, solid knowledge of medical billing processes, and excellent communication abilities. You...

Location: Pasig CitySet up: On-siteSalary: 25, , k SOB Qualifications:1 year US Healthcare Provider experienceAR collections experienceFamiliar with Coinsurance, Copay, and DeductiblesKnowledge about EOB - Explanation of BenefitsFamiliar with Medical Claim Forms - CMS-1500 & UB-04

Join our dynamic team and make a meaningful impact in the healthcare industry. As a Medical Claims Analyst, you'll play a pivotal role in ensuring accurate claims processing while advancing your career in a supportive and innovative environment. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others...

JOB SUMMARYResponsible for the accurate and timely review of complex claims in accordance with applicable contracts, state and federal regulations, health plan requirements, policies and procedures, and generally accepted business practices.ESSENTIAL DUTIES AND RESPONSIBILITIESInclude the following. Others may be assigned.Analyzes professional and hospital...

About the RoleWe are a growing medical billing organization focused on streamlining healthcare revenue cycle management for medical practices. By leveraging modern technology, the team delivers accurate and efficient billing solutions that allow healthcare providers to focus on patient care.Position SummarySeeking a detail-oriented Medical Billing Data Entry...

We're Hiring: Medical Billing Coordinator The Billing Specialist is responsible for ensuring the accurate and timely submission of claims to payers, maintaining compliance with industry standards, and ensuring billing accuracy. This role focuses on precise claim preparation, attention to detail, and proper documentation to minimize errors and maximize clean...

QUALIFICATIONS:Education:Bachelor's Degree in Nursing, Medical Technology, Pharmacy, Healthcare Administration, or related fieldExperience:At least 1–3 years experience in hospital liaison, patient services, or medical coordinationFamiliarity with insurance, HMO, and PhilHealth processes is an advantageSkills & Competencies:Strong communication,...