US Healthcare AR Claims - Metro Manila / NCR - Optum Global Solutions

+This job offers a competitive salary and benefits package for experienced Healthcare Customer Service Representatives. The role involves reviewing and processing ambulance insurance claims, working directly with clients, and maintaining accurate claim records. · ...

ISTA Solutions seeks an experienced Healthcare Customer Service Representative to join their team in Mandaluyong. · At least 6 months of Healthcare experience. · Above average verbal and written English communication skills. · ...

We are seeking an experienced Healthcare Customer Service Representative to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals who prioritize employee satisfaction and work-life balance. · Review and p ...

Provides direction to the Claims Unit team while monitoring daily workflows and ensuring compliance with health plan and regulatory requirements. · ...

The Healthcare Billing and Claim Specialist plays a critical role in supporting a designated caseload of home care providers to ensure timely decisions regarding third-party billing. · Process claims in accordance with payer regulations. · Investigate and resolve claim denials. · ...

Role and Responsibilities · Contract Review & Payment Disputes · Read and analyze contracts for payment disputes. · Verify claim status with insurance providers and collect unpaid claims. · Process claims payments, manage denials, and track claim statuses. · Provider-Side Operati ...

Responsible for the resolution of claims issues including partnering with client delivery and providers. · General office equipment experience · Must have an excellent understanding of health and managed care concepts and their application in the adjudication of claims. · ...

Responsible for the resolution of claims issues. · ...

Provides direction to the Claims Unit team while monitoring daily workflows examiner assignments and production and ensuring compliance with health plan and regulatory requirements. · ...

+Responsible for the resolution of claims issues. · +General office equipment experienceMust have an excellent understanding of health and managed care concepts ...

Responsible for triaging client claims and making determinations on opening cases for medical record review. · ...

Responsibilities · Read contracts for payment disputes. · Work on the provider (hospital) side. · Verify claim status with insurance and collect unpaid claims. · Process claims payments. · Manage accounts receivable (AR) collections and follow-ups. · Ensure invoice accuracy and r ...

Responsibilities · Review contracts for payment disputes. · Work on the Provider side (hospital side). · Verify claim status and collect unpaid claims from insurance (Payer). · Process claims payments and manage denials. · Interact with customers to ensure invoice accuracy and re ...

This is an everyday opportunity to do your life's best work. · ...

ROLE AND RESPONSIBILITIES · Responsible in triaging assigned client claims and make determinations on opening cases for medical record review, in addition, the team also does a thorough review of medical records/documentation and claim history to identify aberrant patterns or tre ...

This position is responsible for Quality Assurance program activities by providing process and operational support to the functions within Business Operations. · Ability to work independently and collaborate with team members across LPS · Possess strong written and verbal communi ...

ROLE AND RESPONSIBILITIES · Responsible in triaging assigned client claims and make determinations on opening cases for medical record review, in addition, the team also does a thorough review of medical records/documentation and claim history to identify aberrant patterns or tre ...

ISTA Solutions is seeking an experienced Medical Billing Specialist to join their team. · Perform eligibility and benefits verification for treatments, hospitalizations, and procedures · Review patient bills for accuracy and completeness and obtain any missing information · ...

The Medical Billing Specialist is responsible for managing insurance billing activities,resolving unpaid or denied claims,and ensuring accurate reimbursement. · At least 2 years of college education · Strong verbal and written English communication skills · ...

This is an exciting opportunity to join Access Healthcare Services Manila, Inc. as a Quality Analyst in our dynamic Healthcare BPO team. · ...