Claims SMEs

4 days ago

Taguig, National Capital Region, Philippines UST Full time ₱1,200,000 - ₱1,800,000 per year
  • Process new claims or modifies existing claims according to the appropriate and applicable action
  • Analyze claims to determine appropriate action to approve or deny a claim for payment
  • Determine accurate payment criteria for clearing pending claims based on defined policies and procedures
  • Research claims edits to determine appropriate benefit application utilizing established criteria, applies physician contract pricing as needed for entry-level claims
  • Review and address provider inquiries regarding claims, billing, and other RCM related issues

Qualifications:

  • Minimum of 3 years of experience in medical claims processing experience; SME/Lead/Trainer experience a strong advantage

  • Proficient knowledge on US Healthcare Practice, Medical Coding (ICD-10, CPT4, DRG, HCPCS), Clinical Documentation Improvement, medical terminologies, EDI, or HIPAA protocols

  • Excellent verbal and written business communication skills
  • Strong attention to detail and the ability to make appropriate decisions based on information presented
  • Amenable to work nightshift, onsite (McKinley, Taguig) and 5 months contract

  • Analyst I Data Engineer

    3 weeks ago

    Taguig, National Capital Region, Philippines DXC Technology Full time

    OverviewJob Description:Serves as escalation point for Level 2 teamServes as SME for applications supportedInvestigates and resolves complex issues related to processing or data qualityInvestigates root cause, develops and implements permanent solutions to problem records as aligned with Problem Management processResponsibilitiesInvestigate handed over and...

  • Analyst I Data Engineer

    2 days ago

    Taguig, National Capital Region, Philippines DXC Technology Full time ₱900,000 - ₱1,200,000 per year

    Job Description:Job Description:Serves as escalation point for Level 2 teamServes as SME for applications supportedInvestigates and resolves complex issues related to processing or data qualityInvestigates root cause, develops and implements permanent solutions to problem records as aligned with Problem Management processDay to day activities:Investigate...

  • Chief Financial Officer

    2 weeks ago

    Taguig, National Capital Region, Philippines Career Connect Full time ₱2,000,000 - ₱2,500,000 per year

    The CFO will oversee the full financial function of the company, ensuring that the company maintains healthy financial operations, controls, and scalability. The role is both operational and strategic — from building monthly P\&L and cash flow models, to supporting fundraising and expansion. Key Responsibilities Own and prepare the Profit & Loss...

  • Sr Analyst I Data Engineering

    2 days ago

    Taguig, National Capital Region, Philippines DXC Technology Full time ₱1,200,000 - ₱2,400,000 per year

    Job Description:Designs and develops Data and Analytics solutionsPerforms data analysis, data architecture, data engineering activitiesDesigns and builds data ingestion pipelines; develops data transformation, cleansing and preparation processesDesigns and builds data storage solutions including database objects and data structuresTakes ownership of complex...

  • Sr Analyst II Data Engineering

    3 weeks ago

    Taguig, National Capital Region, Philippines DXC Technology Full time

    OverviewDesigns and develops Data and Analytics solutionsResponsibilitiesPerforms data analysis, data architecture, data engineering activitiesDesigns and builds data ingestion pipelines; develops data transformation, cleansing and preparation processesDesigns and builds data storage solutions including database objects and data structuresTakes ownership of...

  • Analyst I Data Engineer

    2 weeks ago

    Taguig, National Capital Region, Philippines DXC Technology Inc. Full time

    Analyst I Data Engineer page is loaded## Analyst I Data Engineerlocations: PHL - TAGUIG CITYtime type: Full timeposted on: Posted Yesterdaytime left to apply: End Date: October 11, 2025 (28 days left to apply)job requisition id: 51559370**Job Description:**Job Description:* Serves as escalation point for Level 2 team* Serves as SME for applications...

  • Analyst II Data Engineer

    4 days ago

    Taguig, National Capital Region, Philippines DXC Technology Full time ₱900,000 - ₱1,200,000 per year

    Job Description:Job Description:Serves as escalation point for issues related to the applicationServes as SME for applications supportedInvestigates and resolves complex issues related to processing or data qualityInvestigates root cause, develops, and implements permanent solutions to problem records as aligned with Problem Management processDevelops,...

  • Analyst II Data Engineer

    4 days ago

    Taguig, National Capital Region, Philippines DXC Technology Full time ₱900,000 - ₱1,200,000 per year

    Job Description:Job Description:Serves as escalation point for issues related to the applicationServes as SME for applications supportedInvestigates and resolves complex issues related to processing or data quality Investigates root cause, develops, and implements permanent solutions to problem records as aligned with Problem Management processDevelops,...

  • Sr Analyst I Data Engineering

    2 days ago

    Taguig, National Capital Region, Philippines DXC Technology Full time $104,000 - $130,878 per year

    Job Description:Designs and develops Data and Analytics solutions Performs data analysis, data architecture, data engineering activities Designs and builds data ingestion pipelines; develops data transformation, cleansing and preparation processes Designs and builds data storage solutions including database objects and data structures Takes ownership of...

  • Sr Analyst I Data Engineering

    2 days ago

    Taguig, National Capital Region, Philippines DXC Technology Full time ₱900,000 - ₱1,200,000 per year

    Job Description:Job Description:Designs and develops Data and Analytics solutionsPerforms data analysis, data architecture, data engineering activitiesDesigns and builds data ingestion pipelines; develops data transformation, cleansing and preparation processesDesigns and builds data storage solutions including database objects and data structuresTakes...