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- .... Work Objectives: #Ensures accurate and timely processing of bills. # To be précised and detail-oriented in processing claims availments. # To ensure all payments are based on contract agreement and AHMOPI. # To ensure proper documentation of the bills....
1 $ per year
..., coinsurance, and deductibles Must have knowledge in interpreting Explanation of Benefits (EOB) Must be familiar with medical claim forms (CMS - 1500 and UB - 04) Responsibilities Handle outbound and inbound calls related to healthcare billing and accounts...15000 - 18000 Php
...Claims Analyst (Life) Updates claims database every time processed claims have new status; Processes all received claims; Updates claims database every time processed claims have new status; Coordinates with Medical Underwriting Consultant claims that needs...- ...Key Responsibilities Receives batches of claim transactions. Adjudicates claims based on the Schedule of Benefits, claims protocols, and government regulations. Operates the Claims System accurately and efficiently to ensure timely recording of claims information...
- ...The Medical Claims Analyst is responsible for collections, account follow-up, billing, and allowance posting for assigned accounts. The role ensures accurate, timely resolution of outstanding claims through proactive follow-up and analytical problem-solving. Responsibilities...
- The Claims Assistant reports to the Claims Officer and Assistant Manager, Non-Motor Claims and is responsible for end-to-end processing of designated Personal Accident (PA) Claims and other related tasks as assigned. This includes validating documents, evaluating Claims...
33000 Php
...MED-METRIX IS HIRING! Location: Pasig City Position: Medical Claims Analyst – AR Earn Up to ₱33,000 Monthly! 8-Hour Shift Fixed Weekends Off 100% Onsite Job Overview: As a Medical Claims Analyst – AR, you will be responsible for managing and resolving...- ...dedicated to growing and developing our employees as we build strong teams with strategic leadership. Job Description The Claims Analyst is responsible for assisting the onshore claims team with claims administrative duties. The candidate will be responsible for...
- ...insurance terms such as copay, coinsurance, and deductibles Ability to interpret Explanation of Benefits (EOB) Familiar with medical claim forms CMS-1500 and UB-04 Responsibilities Manage and follow up on outstanding AR accounts Conduct outbound calls to insurance...
- ...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...
18000 Php
...Claims Processing: · Review and process medical claims submitted by members or healthcare providers. · Check documents for completeness... ..., co-pays, and exclusions. Job Position: CLAIMS PROCESSOR/ANALYST Monthly Salary: PHP 18,000 Work Schedule: Monday to Friday...- ...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...
- ...Job Summary: Responsible for the review, evaluation, processing and settlement of Motor claims in accordance with the Company Claims standard and guidelines. Likewise, ensure that all documents and/or reports are properly filed in their respective claim folders and outgoing...
- 1. Reports generation 2. Processes, reviews, and recommends claims for approval within the assigned scope/area and standard turnaround time 3. Maintains effective communication, coordination, and good relationship with clients, concerned business units, and other parties...
- ...Validate all the claims received from the customers. Gather the necessary information from people involved in the claims to obtain proof of delivery from the appropriate carrier. Communicate with different departments to correct issues that arise and properly clear...
- ...BASIC FUNCTION: The Claims Adjuster provides technical and administrative support by extending assistance in the assessment and evaluation of motor car claims and other claims as authorized by management filed with the branch office. He is also responsible for the...
- ...The Claims Officer is responsible for acquiring reparations for Philhealth claims, submission, and reviewing the eligibility of the guest in all aspects. SPECIFIC DUTIES AND RESPONSIBILITIES 1. TECHNICAL · Regularly secure and safe keep / organize the guest’s documents...
- ...Job Summary We are seeking a detail-oriented and organized Claims Assistant (Claims Opener) to join our team. In this role, you will be responsible for initiating insurance claims on behalf of clients, communicating with insurance carriers, verifying policy information...
- ...with established procedures to provide effective support in the treatment and control of information related to the processing of claims, including maintaining information in the system and managing generated documents. Bachelor’s degree holder of any 4-year business...
- ...We are looking for experienced Medical Claims Analysts – Accounts Receivable (AR) to join our growing healthcare operations team. The role involves handling provider billing, performing AR collections, and ensuring timely and accurate claims resolution. The ideal candidate...
- ...Paramount Life & General Insurance Corp. is seeking a Motor Claims Processor to join our dynamic claims team in Calamba, Laguna. This is a full-time position that plays a vital role in our operations, ensuring that motor insurance claims are processed efficiently, accurately...
- ...Responsibilities New Claims acknowledgment within 24hrs File and keep organized all claim files To close claims as quickly as possible Filing of emails to understanding Follow up on outstanding claims with the insurer or with the client to obtain missing...
- ...Assist in processing claims and ensuring all required documentation is collected. Communicate effectively with clients to gather relevant information. Maintain accurate records of claims and follow up on pending issues. Support the claims processing team by performing...
- ...Receive and review claims documents and coordinate with claimants Interview claimant(s) and/or witnesses to gather pertinent information Conduct an actual investigation or inspection to determine the veracity of the loss and the extent of the insurance company's...
- ...A Claims Adjuster is responsible for evaluating insurance claims to determine the extent of the company's liability. This includes investigating claims, verifying coverage, negotiating settlements, and ensuring timely resolution in accordance with policy terms and company...
- ...Identify and implement new claims procedures Evaluate and resolve claims based on company standards Analyze medical claims to ensure accurate payments Verify documents and coordinate healthcare coverage eligibility Review medical records for pre-existing conditions...
- ...YOUR ROLE Reports generation. Processes, reviews, and recommends claims for approval within the assigned scope/area and standard turnaround time. Maintains effective communication, coordination, and good relationship with clients, concerned business units, and...
- ...Description Assist in processing insurance claims efficiently and accurately. Communicate with clients and insurance agents to gather necessary information. Maintain records of claims, ensuring all documentation is complete. Review claims for compliance with...
- ...Responsible for analyzing, adjudicating, auditing, and processing of claims (In-Patient, Outpatient Hospital Bills and Professional Fees) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements) Analyze claim submissions to...
- ...courses, Business, Management, Communication, or medical fields Entry-level applicants are welcome; experience in handling insurance claims is an advantage Job Responsibilities: Generate reports Process, review, and recommend claims for approval within...