- Read and interpret contracts related to payment disputes.
- Work on the provider side to support claims, billing, and collections processes.
- Verify claim status with insurance payers and collect unpaid claims.
- Process claims payments, manage denials, and track claim statuses.
- Manage collections for unpaid healthcare claims to ensure timely resolution.
- Interact with customers to verify invoice accuracy and resolve claims discrepancies.
- Provide input on policies, systems, methods, and procedures for premium collection management.
- Educate customers on online tools for claims submission and payment.
- Monitor outstanding balances and ensure clients pay as billed.
- Prepare invoices and reconcile with accounts receivable records.
- Conduct quality assurance and audits of collection activities.
- Handle documents, emails, and calls related to account processes.
- Execute accounts receivable collections, follow-up, denial management, claims payment processing, tracking, and appeals for hospital accounts.
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Job Description · Alliedbankers Insurance Corporation, a trusted non-life insurance provider in the Philippines, is committed to protecting lives, properties, and businesses through innovative and customer-focused insurance solutions. As part of our continued growth, we are looki ...
Manila ₱300,000 - ₱700,000 (PHP) bawat taon1 araw ang nakalipas
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Alliedbankers Insurance Corporation, a trusted non-life insurance provider in the Philippines, is committed to protecting lives, properties, and businesses through innovative and customer-focused insurance solutions. As part of our continued growth, we are looking for a dedicated ...
Manila ₱300,000 - ₱700,000 (PHP) bawat taon6 araw ang nakalipas
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The Claims Resolutions Specialist prepares and submits appeals for denied claims using payer guidelines contracts fee schedules and medical records to resolve issues trigger payments address complex denial scenarios investigate discrepancies between expected actual payments evalu ...
Manila1 buwan ang nakalipas
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Job Description · Alliedbankers Insurance Corporation · , a trusted non-life insurance provider in the Philippines, is committed to protecting lives, properties, and businesses through innovative and customer-focused insurance solutions. As part of our continued growth, we are lo ...
Metro Manila ₱300,000 - ₱700,000 (PHP) bawat taon1 araw ang nakalipas
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The Claims Specialist manages claim appeals and evaluates next steps. They prioritize work based on claim complexity and efficiently process high volumes of low-balance claims. · Prepare and submit clear, well-supported appeals for denied claims. · Resolve complex denial issues e ...
Quezon City ₱300,000 - ₱700,000 (PHP) bawat taon1 linggo ang nakalipas
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· The Claims Specialist manages claim appeals and evaluates next steps—whether submitting additional appeals or closing accounts. They prioritize work based on claim complexity, maintain accuracy and compliance, and efficiently process high volumes of low‑balance claims to suppo ...
Quezon City, Metro Manila, Philippines ₱300,000 - ₱700,000 (PHP) bawat taon7 oras ang nakalipas
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This is a remote position. We are looking for a Claims Negotiation Specialist to act as the voice of our company. You will pick up where our technical team leaves off and engage with insurance adjusters to ensure our clients get every penny they are owed. · You're not just taking ...
Manila Buong oras1 buwan ang nakalipas
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Analyze insurance claims covering assigned lines; · Coordinate with insured parties and company representatives for expeditious settlements. · Bachelor's degree in Marketing, Business Administration, Social Science, Communications or equivalent · At least 3 years of non-life insu ...
Makati ₱300,000 - ₱700,000 (PHP) bawat taon1 linggo ang nakalipas
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Immediate Hiring: Onsite Night Shift | BGC Claims Specialist job is available for immediate hiring on onsite night shift in Bonifacio Global City. · ...
Bonifacio Global, Metro Manila2 linggo ang nakalipas
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Claims Processors are involved in managing a claim from beginning through to settlement. They ensure that claims are handled efficiently and that payment for valid claims is made to their policyholders. · POSITION DESCRIPTION · Interact with customers and act as a liaison between ...
Bonifacio Global, Metro Manila ₱300,000 - ₱700,000 (PHP) bawat taon6 oras ang nakalipas
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Claims processors are involved in managing a claim from beginning through to settlement. · ...
Bonifacio Global, Metro Manila1 buwan ang nakalipas
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Alliedbankers Insurance Corporation · , a trusted non-life insurance provider in the Philippines, is committed to protecting lives, properties, and businesses through innovative and customer-focused insurance solutions. As part of our continued growth, we are looking for a dedica ...
Metro Manila ₱300,000 - ₱700,000 (PHP) bawat taon6 araw ang nakalipas
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Analyze and evaluate insurance claims for payability or deniability. · ...
Makati, Metro Manila1 buwan ang nakalipas
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A pioneer in the business WINEBRENNER & IÑIGO is one of the fastest-growing and largest brokers in the Philippines highly respected in the local insurance industry and well-known for its personalized service. · ...
Makati1 buwan ang nakalipas
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Job Responsibilities · Analyzes, evaluates and recommends the payability or deniability of a claim covering an assigned insurance line; · Claims registration and booking, claim file creation, documents scanning, and filing management of all claims; · Ensures a system for the orde ...
Makati, National Capital Region ₱300,000 - ₱700,000 (PHP) bawat taon6 araw ang nakalipas
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Analyzes, evaluates and recommends the payability or deniability of a claim covering an assigned insurance line; · Claims registration and booking, claim file creation, documents scanning, and filing management of all claims; · Ensures a system for the order, organization and mai ...
Ortigas ₱300,000 - ₱700,000 (PHP) bawat taon6 araw ang nakalipas
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The Claims Resolutions Specialist is responsible for preparing and submitting appeals for denied claims, addressing escalated claims, investigating underpayments, and closing accounts when collection efforts have been exhausted. · ...
Metro Manila, National Capital Region1 buwan ang nakalipas
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+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. · ...
Mandaluyong1 buwan ang nakalipas
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Dental Claims Specialist role delivers exceptional service to customers by managing and processing claims, resolving issues, and providing support while upholding quality and integrity. · ...
Makati, Metro Manila, Philippines2 linggo ang nakalipas
- Trabaho sa kumpanya Remote na trabaho
Dental Claims Specialist
Para lamang sa mga rehistradong miyembro
Delivering exceptional service to customers by managing claims, resolving issues, and providing support. · ...
Makati2 linggo ang nakalipas
US Medical Claims Specialist - Metro Manila / NCR - Optum Global Solutions
Paglalarawan
Responsibilities
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Claims Specialist
Para lamang sa mga rehistradong miyembro Manila
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Claims Specialist
Para lamang sa mga rehistradong miyembro Manila
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Claims Resolutions Specialist
Para lamang sa mga rehistradong miyembro Manila
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Claims Specialist
Para lamang sa mga rehistradong miyembro Metro Manila
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Claims Specialist
Para lamang sa mga rehistradong miyembro Quezon City
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Claims Specialist
Para lamang sa mga rehistradong miyembro Quezon City, Metro Manila, Philippines
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Claims Negotiation Specialist
Buong oras Para lamang sa mga rehistradong miyembro Manila
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Claims Specialist
Para lamang sa mga rehistradong miyembro Makati
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Claims Specialist
Para lamang sa mga rehistradong miyembro Bonifacio Global, Metro Manila
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Claims Specialist
Para lamang sa mga rehistradong miyembro Bonifacio Global, Metro Manila
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Claims Specialist
Para lamang sa mga rehistradong miyembro Bonifacio Global, Metro Manila
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Claims Specialist
Para lamang sa mga rehistradong miyembro Metro Manila
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Claims Specialist
Para lamang sa mga rehistradong miyembro Makati, Metro Manila
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Claims Specialist
Para lamang sa mga rehistradong miyembro Makati
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Claims Specialist
Para lamang sa mga rehistradong miyembro Makati, National Capital Region
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Claims Specialist
Para lamang sa mga rehistradong miyembro Ortigas
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Claims Resolutions Specialist
Para lamang sa mga rehistradong miyembro Metro Manila, National Capital Region
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Healthcare Claims Specialist
Para lamang sa mga rehistradong miyembro Mandaluyong
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Dental Claims Specialist
Para lamang sa mga rehistradong miyembro Makati, Metro Manila, Philippines
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Dental Claims Specialist
Para lamang sa mga rehistradong miyembro Makati