Search Results: 4,651 vacancies
...health plans to facilitate the appropriate and prompt payment of claims.
Duties & Responsibilities
> Verify/obtain eligibility... ...notation protocols within appropriate systems
> Secure needed medical documentation required or requested by third party insurance carriers...
Visaya KPO
Pasig
a month ago
...Be part of our growing TEAM!
We are looking for goal-oriented individuals to fill-in the CLAIMS ANALYST Role.
The Claims Analyst ensures efficient processing of medical claims with the objective of accurate adjudication and meeting the given turn-around-time, processing...
...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...
...I. Work Objectives:
1. Ensures efficient operation of Medical Ancillary & Support Services Division management fromeworks (claims processing, reimbursement processing and underwriter.
2. Manages initiatives in enabling MASSD team to define governance for the strategic...
HEALTH MAINTENANCE, INC.
Makati
4 days 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...
...-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...
21000 Php
Job Description:
Identify and implement new claims procedures.
Identify, evaluate, and resolve claims in accordance with company standards.
Analyze medical claims to ensure payments are accurate.
Verify documents and coordinate health care coverage for patients...
SLI Consulting Inc.
Makati
5 days ago
...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
1 day ago
Qualifications:
Graduate of any four year course.
Computer literate
Willing to be assigned in MEDASIA
With technical knowledge pertaining to medical terminologies, needed for the job is an advantage.
With good communication / interpersonal skills
Willing to start ASAP
TOPSERVE SERVICE SOLUTION, INC.
Pasig
7 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...
...A. Every HDC shall have a Medical Director who is duly licensed by the Professional Regulation Commission (PRC) and preferably is a nephrologist certified by the Specialty Board of the Philippine Society of Nephrology (PSN). The Philippine Society of Nephrology shall...
DCDC Kidney Care Corp
Parañaque
5 days ago
...What it takes to be part of our team:
High School Diploma or equivalent
Knowledgeable in revenue cycle
Knowledgeable in claims, billing, denials, and appeals process.
Whatu0027s in it for you
Competitive Total Rewards (Compensation, HMO, Group Life Insurance...
...What it takes to be part of our team:
High School Diploma or equivalent
Knowledgeable in revenue cycle
Knowledgeable in claims, denials, and appeals
Whatu0027s in it for you
Competitive Total Rewards (Compensation, HMO, Group Life Insurance, and Performance...
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
a month ago
...outsourcing/offshoring company, is in search of an experienced Medical Biller Specialist to join our rapidly expanding team. As a member... ...obtaining any missing information.
Following up on unpaid claims within the standard billing cycle timeframe.
Calling...
...CLAIMS OFFICER (Life, HMO, Medical, Travel, Personal Accident Insurance)
PURPOSE and SCOPE
The Claims Officer shall oversee all Life, HMO, medical travel, and personal accident claims-related functions. Responsibilities include claim processing and updating clients...
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
a month 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
16 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
...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
19 days ago
