Claims Investigation - Quezon City, Metro Manila

Provide analysis and reporting to maintain general ledger functions. Administer general claims and underwriting processing to ensure insurance quotes and proposals are reflected in tracking tools. Support customer service delivery and resolve inquiries pertaining to claim issues. ...

We are seeking a Claims Analyst to join our Insurance Operations team at MBPS. This role is responsible for the overall review and assessment of claims and making independent decisions on payment within defined authority levels. The successful candidate will have strong analytica ...

The FinCrime Analyst is responsible for safeguarding the organization and its customers by identifying investigating and mitigating potential financial crime risks. · Conduct thorough investigations of suspected fraudulent transactions across various payment channels. · Analyze t ...

The Claims Specialist manages claim appeals evaluates next steps—whether submitting additional appeals or closing accounts. They prioritize work based on claim complexity maintain accuracy compliance efficiently process high volumes low‑balance claims support timely payments maxi ...

The FinCrime Analyst is responsible for safeguarding the organization and its customers by identifying investigating · and mitigating potential financial crime risks. · This role requires strong analytical skills attention to detail · and a solid understanding of fraud typologies ...

We're looking for a Claims Analyst to join our Insurance Operations team at MBPS. In this role, you are responsible for the overall review, assessment, and decision on payment for claims. · Position Responsibilities · Responsible for the complete assessment, calculation and final ...

+ · Key Responsibilities: · + Investigate and resolve member grievances related to Medicare Part D drug coverage, claims, and pharmacy issues · + Act as a liaison between members, providers, and pharmacies for Medicare grievance resolution · ,+ Maintain confidentiality of sensiti ...

This role supports complex cases involving claims, remits and attachments transactions. · ...

The job is for a pharmacy technician to handle grievances and provide customer support. · ...

This is a pharmacy technician job that involves resolving member grievances related to Medicare Part D drug coverage and providing clear communication throughout the grievance process. · ...

The Medical Biller (Revenue Cycle Specialist) with deep expertise in full-cycle billing, payer guidelines, denial management, and claims resolution.This individual plays a critical role in optimizing revenue capture, reducing AR, ensuring coding accuracy, · and maintaining the fi ...

The Medical Biller (Revenue Cycle Specialist) with deep expertise in full-cycle billing, payer guidelines, denial management, and claims resolution. This individual plays a critical role in optimizing revenue capture, reducing AR, ensuring coding accuracy, and maintaining the fin ...

The Medical Biller (Revenue Cycle Specialist) with deep expertise in full-cycle billing, payer guidelines, denial management, and claims resolution.This individual plays a critical role in optimizing revenue capture, reducing AR, ensuring coding accuracy, and maintaining the fina ...

A Sr Collections Specialist in RCM is responsible for identifying, analyzing and resolving issues related to medical billing, claims processing, denials and payment discrepancies. · ...

The Medical Biller (Revenue Cycle Specialist) with deep expertise in full-cycle billing, payer guidelines, denial management, and claims resolution. · Process claims from charge entry through payment posting.Monitor claims status daily; resolve holds, rejections, and payer edits ...

The company is looking for a Senior Revenue Cycle Manager to play a critical role in optimizing revenue capture, reducing AR and ensuring coding accuracy. · ...

We are seeking a skilled and detail-oriented individual to join our team as an Insurance Denials & Payment Specialist. This role combines responsibilities for accurate and timely processing of payments as well as resolving denied insurance claims. · Accurately post payments recei ...

We are seeking a skilled and detail-oriented individual to join our team as an Insurance Denials & Payment Specialist. · This role combines responsibilities for accurate and timely processing of payments as well as resolving denied insurance claims.. · ...

Grievance Handling: Investigate and resolve member grievances related to Medicare Part D drug coverage claims pharmacy issues Ensure all grievances are resolved within required CMS timelines documented appropriately Act as a liaison between members providers pharmacies for Medica ...

Whether you want a career that could take you to the top, or simply take you in an exciting new direction, HSBC offers opportunities, support and rewards that will take you further. · ...