Job Opportunities in Philippines

Work Set-up: 100% Onsite
Location: 19th, Cyber One, Eastwood Ave, Quezon City, 1800 Metro Manila
Shift: Nightshift (EST)
Duties and Responsibilities:
The role of the Medical Claims Specialistinvolves overseeing accounts receivable and minimizing the volume of accounts through the resolution of disputed and denied claims. Additionally, the Medical Claims Specialist will ensure precise payments in alignment with payer contracts.

• Review account balances and resolve accounts/invoices by partnering with insurance companies and/or patients.
• Expert in handling appeals and denials.
• Excellent English communication skills.
• Collaborate with various departments to gather necessary information in order to have claims reprocessed or resubmitted.
• Coordinate with Intake team and contracts team to determine accuracy of information loaded on patient accounts to avoid disputed or underpaid claims.
• Participate in end-of-month closing procedures

Qualifications:

• 5 years experience in US Healthcare
• Proficient in Microsoft Office Suite
• Experience with EMR/EHR software
• Excellent communication skills
• Must uphold all principles of confidentiality and patient care to the fullest extent while adhering to and complying with the Health Insurance Portability and Accountability Act (HIPAA) at all times

Job Type: Full-time
Pay: Php45,000.00 - Php57,000.00 per month
Benefits:

• Health insurance

Schedule:

• Evening shift
• Monday to Friday
• Night shift

Supplemental Pay:

• 13th month salary

Application Question(s):

• Are you amenable working strictly onsite at Eastwood, Libis Quezon City?

Experience:

• US Healthcare: 5 years (Preferred)
• Medical Billing/Medical Claims: 5 years (Preferred)