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- ...be responsible for people and project management, carrying out administrative activity required to ensure effective management of claims administration team, payment allocation, claims reserves and total incurred review. The claims lead must know how the team processes...
- ...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...
- ...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...
- Responsibilities: ~- Review diagnosis and medication coding for infusion services, especially when payer limitations apply. - Assess payer medical policies and CMS guidelines to confirm medical necessity and coverage eligibility. ~- Ensure clinical documentation aligns...
720000 Php per year
...Job Title: PHRN/ USRN - Clinical Disability Claims Work Schedule: Shifting Work set up: Work from home Basic Pay: 60,700-85,700 + Allowances 5,675 No. of headcounts: 3 Target Start date: July 20th Qualifications: • Must have an active PHRN or USRN license...- ...marine insurance. Enjoy strong training, mentorship, and growth opportunities as you help build its presence in the region. The Claims Coordinator i s responsible for setting up newly reported claims, processing supporting documentation, and assisting in the...
- This is a remote position. We are seeking an empathetic, detail-oriented, and fluent Bilingual Intake Specialist (Spanish/English) to join our growing team. In this role, you will be the first point of contact for prospective clients. You will be responsible for conducting...
- ...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...
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...- ...initiatives aimed at enhancing coding accuracy, maximizing reimbursement, and standardizing intake workflows. - Train and onboard new Claims Coordinators on systems, procedures, and industry best practices, while providing ongoing mentorship and operational support to...
- ...Arrangement : Hybrid Our East West Insurance Brokerage team is looking for experienced professionals to join us in Taguig as a Claims Assistant . In this role you will process insurance claims filed by bank clients delivering efficient service from initial...
- ...This is a remote position. Rockstar is hiring a full-time Medical Claims/AR Specialist - Virtual Assistant on behalf of a growing speech therapy practice. This role is focused on claims management — following up on outstanding claims, processing secondary billing...
- ...Key Responsibilities Review 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 audit Prepare and submit claim...
50000 - 100000 Php
Be one of the first to apply...country, maintaining a strong presence in the Philippine gaming market for more than two decades. Position: Mandarin Game Research Analyst Industry: Digital Entertainment Firm Location: BGC, Taguig Schedule: Dayshift Schedule Salary: Php 50, 000 - Php 100, 000...- ...Business Analyst Job Responsibilities Business Analysis Gather, analyze, and document business requirements, user stories... ...processes such as policy administration, underwriting, claims, and billing. Experience with API integrations, SQL, data...
775000 $ per day
...APPLY FOR THIS ROLE--- POSITION TITLE: Instructor Senior Analyst WORK SETUP: Hybrid (Full RTO when facilitating a class) OVERALL... ...experience in Health insurance / P&C and/ or Life Insurance claims processes is preferred • Supervisory experience is preferred;...- ...underrepresented groups. The role The Operations Support Analyst is responsible for supporting back-office, contract fulfilment... ...for all. Please beware of fraudulent job postings and offers claiming to be from the Financial Times. All legitimate opportunities will...
- ...Requisition Number: 105635 Data Analyst I Manages, maintains and monitors master data and costing. Maintains and creates master... ...costing is supplied ~ Request necessary information ~ Submit claims for data issues ~ Identify areas of improvement and provide...
- ...! We are seeking a detail-oriented and organized Accounting Analyst to join our GL Accounting team in the Manila office . The successful... ..., mainly through telephone calls, emails and correspondence, claiming they are representatives of Anaplan. The main purpose of these...
775000 $ per day
...TO APPLY FOR THIS ROLE--- POSITION TITLE: Insurance Operations Analyst WORK SETUP: Return to Office OVERALL PURPOSE: As an Insurance Operations... ...of retirement plan-related requests, account inquiries, claims and loans. RESPONSIBILITIES: Legal and Compliance Processing •...- ...by underrepresented groups. The role The Procure to Pay Analyst serves as the initial processor of accounting payable services.... ...for all. Please beware of fraudulent job postings and offers claiming to be from the Financial Times. All legitimate opportunities will...
- ...Global Benefits Management Analyst ~202604448 ~Philippines ~Full time View favourites Description The Global Benefits... ...and consolidation, benchmarking, contract renewal analysis, claims tracking and resolution and benefit audit support. The Role...
- ...financial impact and risk assessments. Present clear, executive-level insights and recommendations based on complex financial and claims data. Qualifications: ~ Bachelor’s degree in Finance, Accounting, Economics, Health Administration, or related field....
- ...Position Summary: The Membership Accounting Analyst is responsible for the timely and accurate resolution of discrepancies identified... ...experience including; Customer Service, Enrollment, and or Claims processing Excellent analytical, decision-making, problem-solving...
- ...charge for troubleshooting technical-related problems and coaching lab analysts I, lab technicians and lab aides. Specific Responsibilities Reviews samples against Request for Analysis and / or claim stub and/or other information for routine test (including but not...
- Responsible for handling payment-related requests, escalations, and investigations across international, domestic, and direct debit transactions. The role ensures timely resolution of payment issues, compliance with risk and regulatory requirements, and close coordination...
- ...Accounting and Reporting Expert / Senior Analyst Help shape the future of global finance reporting At ING, we believe people should spend less time worrying about banking and more time focusing on the things that matter most to them. That's why we're continuously...
- ...of today, while advancing a cleaner energy tomorrow. About the Role We have an exciting opportunity for an Asset Accounting Analyst. This role will be based in 6750 Building, Makati City, Philippines. Responsibilities include, but are not limited to, the following...
- ...Finance with Purpose. Insights that Drive Strategy. As FP&A Analyst, you will provide transparency and actionable insights to support strategic decision-making. Reporting to the FP&A Manager, you’ll identify opportunities, mitigate financial risks, and ensure reliable...
- About Ogilvy Ogilvy, part of WPP, has been creating impact for brands through iconic, culture-changing, value-driving ideas since the company was founded by David Ogilvy 75 years ago. It builds on that rich legacy through Borderless Creativity – innovating at the intersections...