denials jobs in Manila

The Clinical Denials Specialist plays a vital role in ensuring accurate reimbursement for healthcare services by reviewing denied claims, identifying denial reasons, and appealing claim denials. This role collaborates closely with healthcare providers to gather the documentation and clinical evidence needed to build strong appeals, analyzes denial trends...

DescriptionWork setup: ONSITE / BGC, Taguig within 6 months then transfer to Bridgetowne, QCWork schedule: NightshiftThe QA – Clinical Denials is responsible for conducting quality audits of clinical denial reviews, appeal preparation, documentation, coding validation, and denial management activities to ensure accuracy, compliance, consistency, and...

DescriptionAbout the JobTarget SD: No later than November 3, 2026Work Setup/Location: 100% ONSITE (BGC, Taguig)Work Schedule: Night ShiftThe Clinical Denials Specialist plays a vital role in ensuring accurate reimbursement for healthcare services by reviewing denied claims, identifying denial reasons, and appealing claim denials.This role collaborates...

Health Business Solutions LLC in Pasig, Metro Manila, Philippines is seeking a Revenue Cycle Denials Specialist to identify, investigate, appeal, and resolve denied or underpaid healthcare claims to maximize reimbursement and minimize revenue leakage.You will work closely with payers, providers, coding teams, clinical staff, and billing departments to ensure...

Denials and Appeals Specialist Work Location: Bridgetowne, Quezon City Work Setup: Onsite Shift: Night Shift Department: Corporate – Revenue Cycle Management Job Description We are looking for a Denials and Appeals Specialist to handle post-service healthcare payer denials for clinic and surgical services. The role focuses on researching...

COMPANY BENEFITS 20 Paid Time Off (PTO) per year Annual Appraisal Quarter Incentive Weekends off HMO with FREE 2 dependents Group life insurance SUMMARY The Clinical Denials Clinician of AR Management is responsible for recovering revenue through a.) intelligent and ethical investigation of disputed/denied clinical claims, b.) verifying...

Med-Metrix, LLC is seeking a Denials Management Coder responsible for reviewing denied claims related to coding errors and taking corrective actions. Candidates should possess CPC/COC certification and at least one year of coding experience, focusing on coding denials.The role offers 8-hour shifts with a work-from-home option, among various benefits...

A healthcare solutions company in Metro Manila is seeking an experienced Insurance Denials Management Specialist to analyze and resolve hospice claims denials. The successful candidate will review, appeal, and develop strategies for denials, ensuring compliance with regulations while collaborating with various teams. With at least 2 years of relevant...

We're Hiring: Clinical Denials Triage Specialist! We are seeking a detail-oriented and analytical Clinical Denials Triage Specialist. The ideal candidate will play a crucial role in reviewing, analyzing, and resolving clinical denial cases to ensure efficient revenue cycle management. Location: Philippines Work Mode: Hybrid Role: Clinical Denials...

Summary:As a Revenue Cycle Denials Specialist you are responsible for identifying, investigating, appealing, and resolving denied or underpaid healthcare claims to maximize reimbursement and minimize revenue leakage. The role works closely with payers, providers, coding teams, clinical staff, and billing departments to ensure timely resolution of denied...

Summary: The Revenue Cycle Denials Specialist is responsible for identifying, investigating, appealing, and resolving denied or underpaid healthcare claims to maximize reimbursement and minimize revenue leakage. This role works closely with payers, providers, coding teams, clinical staff, and billing departments to ensure timely resolution of denied claims...

Clinical Experience Preferred Now Hiring a Coding and Denial Auditor! We’re seeking an experienced Coding Auditor / Denial Auditor to support hospital revenue cycle auditing, denial prevention, and reimbursement accuracy. This role focuses on inpatient and outpatient hospital claims. Physician billing experience a plus. Clinical experience strongly...

Vector Outsourcing Solutions in the Philippines seeks a detail-oriented payments data entry specialist. Primarily you will post payments made by patients, and enter medical insurance payments from US clinics, ensuring accuracy and timely processing.Responsibilities include entering adjustments and write-offs, balancing totals, tracking denial and payment...

Job SummaryWe are seeking a detail-oriented and experienced Insurance Denials Management Specialist to join our team, specializing in hospice claims. The ideal candidate will have a strong background in analyzing, appealing, and resolving insurance denials to optimize reimbursement and ensure compliance with hospice care billing regulations.Key...

Lyric in Manila is seeking a Senior Medical Content Analyst to support clinical content updates, coding interpretation and denial decision workflows. You will work with Medical Directors and clinicians to align on criteria and provide customer-facing content support.Ideal candidates have 5+ years in medical billing/coding with strong communication, MS Office...

Job Summary: We are seeking a detail-oriented and experienced Insurance Denials Management Specialist to join our team, specializing in hospice claims. The ideal candidate will have a strong background in analyzing, appealing, and resolving insurance denials to optimize reimbursement and ensure compliance with hospice care billing regulations. Key...

DescriptionWork setup: ONSITE / BGC, Taguig within 6 months then transfer to Bridgetowne, QCWork schedule: NightshiftThe Program Manager – Clinical Denials provides strategic and operational leadership for one or more clinical denials programs across clients, facilities, service lines, or revenue cycle functions.This position is responsible for program...

DescriptionWork setup: ONSITE / BGC, Taguig within 6 months then transfer to Bridgetowne, QCWork schedule: NightshiftThe Team Lead – Clinical Denials provides operational and clinical leadership to a team of Clinical Denials Specialists supporting U.S. healthcare clients. The role oversees daily workflow, productivity, quality, employee performance,...

SummaryAs a Revenue Cycle Denials Specialist you are responsible for identifying, investigating, appealing, andresolving denied or underpaid healthcare claims to maximize reimbursement and minimizerevenue leakage. The role works closely with payers, providers, coding teams, clinical staff, andbilling departments to ensure timely resolution of denied claims...

Discover your 100% YOU with MicroSourcing!Position: Utilization and Denials Management AuditorLocation: Taguig, PhilippinesWork setup & shift: PH Night ShiftWhy join MicroSourcing? You'll have:Competitive RewardsEnjoy above-market compensation, healthcare coverage on day one, plus one or more dependents, paid time-off with cash conversion, group life...