...information in appropriate systems
> Research/ Status unpaid or denied claims
> Monitor claims for missing information, authorization, and... ...notation protocols within appropriate systems
> Secure needed medical documentation required or requested by third party insurance...
Visaya KPO
Pasig
26 days ago
35000 Php
SUMMARY:
Generally responsible for reviewing escalated client claims, determining allowable benefits, and manage the efficient settlement of customers’ claims to ensure smooth claims and arbitration process and customer satisfaction.
QUALIFICATIONS
1. Bachelor’s Degree...
J&T EXPRESS INC
Metro Manila
17 days ago
...Min 2 years post qualification in a relevant clinical role or medical insurance processing, approvals or customer support decision making... ...The job holder's primary task will be to process e-claims received from external medical service providers. This involves...
...JOB PURPOSE:
Responsible for analyzing, adjudicating, auditing and processing of claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements)
Graduate of...
...Review and process medical insurance claims accurately and efficiently.
Ensure claims entry is completed accurately.
Verify the accuracy of coded data and resolve any discrepancies or errors.
Collaborate with other members to ensure timely and accurate claim...
...-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites.
Meets and maintains daily... ...appeals when necessary.
Ability to identify and correct medical billing errors.
Send appropriate appeals, accurate requesting...
Job description
-Ensure that claims assigned are completed within turnaround time.
-Process and adjudicate the claims assigned.
-Evaluate... .../hospital.
Job Qualification:
-Graduate of any four-year medical allied course or at least 3rd year college
-Amenable to work...
Prime@Technology Specialists, Inc
Makati
more than 2 months ago
...Job Title: CSR for US Healthcare Account (Medical Billing)
Work Setup: Buendia, Makati
Work Schedule: Night Shift
Account specific... ...obtaining any missing information.
Following up on unpaid claims within the standard billing cycle timeframe.
Calling...
Claims Managers process insurance claims on behalf of insurance companies and their clients. They review information submitted with claims, manage and monitor claims as they progress, and provide advice about insurance policies. Claims Managers need analytical skills and...
Dempsey
Pasig
21 days ago
40000 Php
Responsibilities:
• Process and submit medical claims to insurance companies and government health programs
• Verify patient insurance coverage and eligibility
• Review and analyze medical documentation to ensure accuracy and compliance with billing regulations
•...
STACKPh
Plaridel, Bulacan
4 days ago
18000 Php
Role Description
This is a full-time on-site role for a Claim Assistant/Office staff located in Makati. The Claims Clerk will be responsible for processing insurance claims, managing claims operations, and providing excellent customer service.
Qualifications
Claims...
ANR Unlimited MPC
Makati
24 days ago
-Reviews all claims documents and relates it to the insurance policy for compliance
-Tasked to inspect the damages sustained by the vehicles being claimed, canvass the necessary parts and make recommendations on the most accurate amount of repair that can be approved...
Prudential Guarantee and Assurance, Inc.
Makati
a month ago
...connects patients with healthcare providers for online consultations, medication delivery, and laboratory testing. Joining our client's team... ...The Arbitration Specialis t is responsible for analyzing claims eligible for arbitration . This individual should possess superior...
Job Role Key Information
He/She will review the claims submitted to ensure that they are valid. He/She collects the necessary documents for claims assessment. The Claims Officer/Executive/Surveyor/Adjudicator helps to settle all claims matters accurately and fairly based...
Dempsey
Pasig
21 days ago
...are looking for a candidate to work on site in ayala makati for Claim processor. the candidate must be willing to render overtime when... ...With experience at least 3-6 months of experience in processing medical claims benefits for local or international account or other related...
TASQ STAFFING SOLUTIONS
Makati
8 days ago
...Summary
The Medical Claims Analyst is responsible for processing medical only claims and claims open for administration of medical benefits. This role approves payments and claimant reimbursements on medical only claims after compensability has been determined....
...Job Objective / Purpose
The Claim Processor will be responsible for the timely processing of medical claims based on the member's health benefit program. S/he will analyze medical information, perform data entry, handle reimbursement claims, and decide whether a claim...
...Posted 7 days ago and deadline of application is on 28 Jun
Recruiter was hiring a day ago
Job Description
Review medical claims to ensure company reimbursement payments are accurate and reprice claims according to hospital payment schedules and Medicare reimbursements...
Care Technologies
Taguig
4 days ago
MAJOR RESPONSIBILITIES
-Assigned special accounts to handle.
-Receives Claims Documents from Receiving and Encoding Sections for review.
-Prepares reports and statistics for management's information.
-Assists in updating status of assigned claims to broker(s), agent...
Prudential Guarantee and Assurance, Inc.
Makati
more than 2 months ago
...Make your next big career move by applying as KMC Solutions' next MEDICAL TEAM LEAD!
The Medical Claims Team Lead job involves managing and guiding a team of Medical Claims Analysts who will be responsible for analysis of receivables due from healthcare insurance companies...
- Report directly to the head of Operation.
- Analyze and evaluate the claims based on the relevant documents submitted to a certain whether the claim is valid, and to establish the party liable.
- Prepares full report for the Head of Operations based on the result of...
P AND I CLAIMS MANAGEMENT INC.
Quezon City
more than 2 months ago
18554 Php
Handle processing of claims within required turnaround time. Also, to handle in-process claims, approved claims, denied claims and claims with requirements based on the Company’s policies and procedures. Monitors the status of claims and update the Claims Registry accurately...
Fortune Life Insurance Company
Makati
more than 2 months ago
28000 Php
We are seeking highly motivated and customer-oriented individuals to join our team as Call Center Agents.
List of vacant positions: (HIRING)
Customer Service Representative
Technical Support Representative
Sales/Retail Representative
Travel and Hotel Associate
Healthcare...
Orbit Teleservices Pasig-Ortigas
Pasay
25 days ago
20000 Php
QUALIFICATIONS:
- Assoc. or Bachelor’s Degree in Civil Engineering/Finance & Accounting related
- Experienced in non-life insurance claims
- Good computer skills in Word/Excel
- Willing to travel
- Preference for those with insurance experience
- Excellent...
VelcoaAsia Management Corporation
Makati
25 days ago
...Nezda Technologies Inc. is hiring Medical Claims Adjudicator (Mandarin).
Salary: P32,000 - P45,000
Target Start Date: ASAP!
Qualifications:
Medical course is preferred but not required.
Basic to intermediate proficiency in Chinese language (verbal and written...
20000 Php
...description
-Candidate must possess at least a Bachelor's/College Degree in any field.
-At least 1-2 years of experience as a Medical Representative.
-Fresh Graduates are welcome to apply.
-Background in a Pharmaceutical company is an advantage.
-With a convincing...
Mergers Drugfil Corp.
Cebu
1 day ago
45000 Php
The C&MO is a Managerial post that shall be responsible in the claims management of the brokerage for all its non-life lines. The post shall also handle and assist in the management of special corporate accounts assigned by the GM.
AVOCAMPO|ATR KIMENG INSURANCE BROKER INC
Makati
more than 2 months ago
75000 Php
Open positions:
-Inpatient Coder -Outpatient Coder Salary: 50,000 - 75,000
-Outpatient Coding Trainer Salary: 59,700
-Clinical Denials QA -CDI Specialist Salary: 35,000 - 60,000
Qualifications:
PHRN - Certified Medical Coder (COC, CCS, CPC, CIC and etc.
RSD Human Resources Management Department
Pasig
3 hours agonew
25000 Php
...or monitor quality assurance programs or activities to ensure the accuracy of laboratory results.
Qualifications:
Graduate of Medical Technology course.
With PRC license.
Certificate of training in Biosafety is a plus.
With or Without Experience.
Newly board passers...
Edcor Medical Corporation
Manila
1 day ago
21000 Php
Must be a graduate of a course in medical technology.
Must be registered as a Medical Technologist.
Up to 2 months’ on-the-job training in hospital laboratory procedures required.
A preference for activities carried out according to established processes and techniques...
Fatima University Medical Center
Antipolo City, Rizal
11 days ago