Job Summary: A Claims Processor is responsible for the accurate and timely processing of claims submitted by clients, policyholders, or claimants. This role involves reviewing claims, verifying documentation, ensuring adherence to company policies, and ensuring that claims are processed e?iciently and
Job Functions: • Input claim data into the system, ensuring all information is accurate, up-to-date, and properly filed. • Assist in collecting and organizing all necessary documentation for claims, including medical reports, receipts, and forms. • Review and
Job Functions: • Handle more complex or high-priority claims, ensuring all documentation is complete, accurate, and in compliance with relevant policies and regulations. • Process claims within established timelines, ensuring the appropriate action is taken for claim approval, rejection,
Job Functions: • Input claim data into the system, ensuring all information is accurate, up-to-date, and properly filed. • Assist in collecting and organizing all necessary documentation for claims, including medical reports, receipts, and forms. • Review and
Job Summary We are seeking a detail-oriented Travel Claims Processor – Health to join our team. In this role, you will be responsible for reviewing and processing medical claims submitted under travel insurance policies. You will assess claim eligibility, verify
The Dental Billing Specialist plays a critical role in managing the complete billing cycle, including Revenue Cycle Management (RCM) and Accounts Receivable (A/R). This role ensures efficient billing operations by handling claims, investigating denials, and performing end-to-end
Job Functions: • Verify, analyze, and investigate whether claims are covered by the policy. • Ensure that all claims for inspection and evaluation are attended to within the specified turnaround time (TAT) set forth by the company. •
The Healthcare Operations Sr. Manager is accountable for end-to-end service delivery, operational excellence, and client satisfaction across healthcare payer BPO workstreams. This role leads multi-functional teams spanning Claims, Enrollment & Billing, Provider Operations, Product Configuration, Contact Center,
Work Arrangement: On-site | Dayshift | Monday–Friday Location: Muntinlupa City Employment Type: Full-time Job Summary: The Claims Processor is responsible for the efficient processing, management, and resolution of claims. Ensures accurate documentation, communication, and adherence to company policies and
The Medical Billing Specialist plays a critical role in managing the complete billing cycle, including Revenue Cycle Management (RCM) and Accounts Receivable (A/R). This role ensures efficient billing operations by handling claims, investigating denials, and performing end-to-end
A Medical Biller works in healthcare facilities and is responsible for submitting claims to insurance companies. Everyday responsibilities include processing data from medical coders, ensuring claims get processed and paid, verifying insurance coverage, reviewing denied claims, and assisting patients
Job Title: Medical Claims Processor Minimum requirements: Applicants must be willing to work and relocate to Clark, Pampanga. Applicants must be a Filipino citizen or have a relevant residence status. With Bachelors Degree in Nursing or Midwifery. Registered
ROLE AND RESPONSIBILITIES: We are looking for an analytical and detail-driven Revenue Accountant to oversee financial activities that directly offset gross sales. In this role, you will be responsible for the accurate accounting, tracking, and reporting
The VA will serve as a Case Manager, acting as the central coordinator for personal injury files (car accidents, slip and falls). TASKS: Conducting welcome calls and maintaining regular communication regarding recovery Facilitating medical treatment, ensuring
Position Summary The Reconciliation Analyst is responsible for the timely and accurate resolution of discrepancies identified during the reconciliation of the information in the clients platform against data maintained within the CMS, SSA or client identified
GUIDEWIRE QUALITY ASSURANCE ANALYST / ENGINEER ABOUT THE ROLE We are seeking detail-oriented Guidewire Quality Assurance Analysts or Engineers to support testing and quality assurance across complex insurance transformation engagements. You will play a critical role
Duties and Responsibilities include but are not limited to: Document new patient and referral intake Manage appointment bookings, cancellations, and rescheduling for patients and healthcare providers. Input patient information, medical records (CPT, ICD-10, HCPCS), and billing