Get new jobs by email
- ...As a Dental Claims Specialist, you will play a critical role in delivering exceptional service to our customers. You will be responsible... ...office preference, always upload EOB, and apply. correct adjustment/WO Identify any insurance process updates/issues and communicate...
- ...Job Req Number: 109471 Time Type: Full Time Position: Business Support Assistant – Claims Surname / Name: Department / Location: MNL ISSC - Business Support Services Substitute: Line Reporting: Business Support Services Team Leader Hiring Date: TBD...
- Senior Claims Executive We are looking for a dedicated individual to join us as Senior Claims Executive at Aon Philippines, offering... ...all and provide individuals with disabilities with reasonable adjustments to participate in the job application, interview process and...
- ...organized ~ Must possess the ability to ask for the sales follow through Job Description: Processing all subsidies and claims for MMPC Processing all sales force incentives for SC, group manager, and branch manager at MMPC Receiving, releasing, and...
- ...looking for experienced professionals to join us in Taguig as a Claims Assistant . In this role you will process insurance... ...submitted. Coordinate with Sales, Finance, insurers, independent adjusters, and repair shops to ensure timely premium remittance,...
775000 $ per day
...RESPONSIBILITIES: Provide analysis and reporting to maintain general ledger functions. Administer general claims and underwriting processing to ensure insurance quotes and proposals are reflected in tracking tools. Support customer service delivery and resolve inquiries...Accenture
Muntinlupa9 days ago- ...people like you. About the role We are seeking an experienced Claims Specialist with a strong focus on Accuracy reporting and Client... ...in the claim process, including clients, insurers, loss adjusters, solicitors, and other third parties. ~ Leverage insurance expertise...
- ...Setup: On-site Locations: Muntinlupa Industry: Insurance Salary Range: Php 20,000 About the Job: Responsible for claims processing and compliance to the correct claims processing procedures and prompt settlement of claims. Required to operate on a...
- ...Job Description The Claims Analyst – Professional Billing (PB) is responsible for analyzing, auditing, and resolving claims related to professional (physician and ancillary) services to ensure accurate billing, coding, and reimbursement. This position plays a key role...
- ...The Claim Resolution Specialist holds a dynamic position within the claims workflow, responsible for submitting appeals to reverse denials and initiate payments, as well as assessing the need for additional actions, such as further appeals or account closures. Individuals...
- ...The primary role of this position is to support Claims Adjusters located in North America by completing various tasks as instructed. The Claims FNOL Handler will be responsible for a range of activities, including receiving and registering claims, reviewing insurance...
- ...Position Summary The Audit Technician for Denied Medical Claims is responsible for reviewing, analyzing, and reconciling denied healthcare claims to ensure accuracy, compliance, and timely resolution. This role supports the appeals and audit process by identifying errors...
- ...function that strengthens healthcare systems through data accuracy and clinical insight. Qualifications Minimum 1-3 years of Risk Adjustment coding experience Active CPC and CRC certifications (must be current - no lapsed credentials) Demonstrated experience in...
- ...Responsible for managing a team of Claim Inspectors and Billing Representatives, working to ensure timely and accurate review of claim requirements through an established checklist and efficient billing management focusing on revenue collection. Manages volume...
- ...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...
- ...Analyst to join the team and support the accuracy and integrity of claims processing and reimbursement activities. In this role, you will... ...a Quality Control Analyst; 2 years of experience as a Claims Adjuster. ~ Strong knowledge of managed healthcare operations and...
- ...revenue flow? You’ll have the flexibility to work remotely, support a growing healthcare service, and play a key role in ensuring claims are processed smoothly and on time. If you’re detail-oriented, reliable, and thrive in a fast-paced, task-driven environment, this...
- ...RESPONSIBILITIES: Negotiate with insurance companies regarding claims and recommend course of action when settlement cannot be... ...maintaining assigned accounts-customer calls, review accounts adjustment, resolve client discrepancies etc. Enlist the efforts of sales...
Commonwealth Foods, Inc.
Makati15 days ago - Key Responsibilities • Supervise and mentor a team of claims officers and adjusters, ensuring an even distribution of workload and high standards of professionalism. • Review and monitor complex or high-value claims to ensure accuracy, timely processing, and adherence...
WHR Global Consulting
Muntinlupaa month ago - ...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...
- ...and miscellaneous invoices are cleared. ~ Process expense claims and arrange reimbursements to Directors and staff. ~ Re-charge... ...~ General accruals ~ Leave and Long Service Leave accrual adjustments ~ Wage reallocations ~ Prepayments amortisation (...
- ...inquiries related to benefits, and assists in determining validity of claims. Acts as the liaison between employees and insurance... ...apply, please tell us the pronouns you use and any reasonable adjustments you may need during the interview process. At Insight, we...
- ...Upload invoices to Xero accounting software Record expense claims and follow up on credit card receipts Prepare and send out payment... ...Payroll Processing Execute weekly payroll runs (normal, adjustment, and unscheduled) Maintain payee records and generate...
- ...templates, and workflows to generate consistent outputs ●Adjust prompts as needed to improve clarity, structure, and... ...needed ●Use reputable sources and avoid unsupported claims ●Flag any unclear, conflicting, or unverifiable information...
- ...relations apprentice over time, not to hire someone who already claims to be one. Requirements Who This Role Is For This role... ...and verbal) Tech Savvy Open to feedback and willing to adjust behavior Eager to learn new concepts, systems, and ways of thinking...
- ...Requirements •Process and submit dental and orthodontic insurance claims accurately and in a timely manner •Manage pre-authorizations... ...age limits) •Post insurance payments, patient payments, and adjustments •Follow up on outstanding claims, denials, and appeals •...
- ...Review and comment on contractor’s method statements, contractual claims, and ensure compliance with quality control procedures and... ...interaction even better. If you require further support or reasonable adjustments with regards to the recruitment process (for example, you...
- ...involves delivering virtual training, setting up clients' medical claim systems, identifying workflow efficiencies and providing... ...situations and implement effective solutions. Willingness to adjust to changing priorities and work in a dynamic environment. Ensuring...
- ...for healthcare services. This role is responsible for accurate claim submission, timely reimbursements, and maintaining compliance with... ...• Maintain accurate records of payment postings, adjustments, and billing activity • Identify denial trends and recommend...
- ...Cycle Medical Billing Manage the full billing cycle from claim submission through payment resolution Submit and track... ...BCBS, Availity, Waystar, etc.) Post insurance payments and adjustments accurately Investigate, follow up on, and resolve denied or...
