Claims Administrator

Staff Outsourcing Solutions; Cebu City; On-site; PHP 360,000 - 480,000; Full time

Benefits offered by this job

Salary appraisals

HMO and health insurance

Night differential pay

Holiday premium pay

Service leave upon regularization

Weekends off

Growth opportunities

Training and upskilling

Employee engagement activities

Class A office in Cebu Business Park

Job summary

Staff Outsourcing Solutions in Cebu City is seeking a detail-oriented Claims Admin Support professional to assist the Claims team with patient accounts, documentation, data entry, claim follow-ups, and administrative tasks.

The role requires accuracy, strong organization, and the ability to work efficiently across multiple systems, including payer portals and the Inbound Documentation Routing (IDR) system. Onsite, night shift aligned with US business hours.

Qualifications

• Experience in claims administration or healthcare is an advantage.
• Experience with healthcare systems and payer portals preferred.
• Strong attention to detail with repetitive, process-driven tasks.

Responsibilities

• Review patient accounts, notes, and documentation with accuracy.
• Enter data across multiple systems and ensure data integrity.
• Follow up on claims and manage work queues to meet deadlines.
• Document account activity clearly and thoroughly.

Skills

Attention to detail

Data entry

Organizational skills

Communication

Research

Learning new systems

Independent work

Tools

IDR system

Payer portals

Provider portals

Job description

We are looking for a detail-oriented and organized Claims Admin Support professional to assist the Claims team with patient accounts, documentation, data entry, claim follow-ups, and administrative tasks. The role requires accuracy, strong organizational skills, and the ability to work efficiently across multiple systems and resources.

What we're looking for

• Accurately reviews patient accounts, notes, and documentation.
• Follows directions and priorities provided by the Claims Representative.
• Maintains accuracy when handling sensitive account and claims information.

Computer and data entry proficiency

• Comfortable navigating multiple systems and entering data accurately.
• Able to quickly learn company software, payer portals, and the Inbound Documentation Routing (IDR) system.
• Comfortable working with multiple screens, applications, and online resources.

Organization and follow-through

• Effectively manages work queues, follow-up tasks, and deadlines.
• Ensures outstanding items are properly tracked and resolved in a timely manner.
• Can prioritize multiple tasks while maintaining accuracy.

Professional communication

• Communicates clearly and professionally with management and internal teams.
• Documents account activity thoroughly and accurately.
• Demonstrates good written and verbal communication skills.

Research and resourcefulness

• Uses provider portals, payer websites, and internal resources to obtain claim status, authorization information, and other account updates.
• Demonstrates initiative when researching account or claims-related information.
• Knows when to escalate issues and seek assistance when needed.

Preferred qualifications

• Previous experience in claims administration, healthcare, medical billing, patient accounts, or BPO healthcare support is an advantage.
• Experience working with healthcare systems, payer portals, or patient account platforms is preferred.
• Strong attention to detail and ability to handle repetitive, process-driven tasks.
• Ability to work independently while following established procedures and instructions.
• Willingness to learn new systems, processes, and healthcare-related workflows.

Details

• Onsite at our office in Cebu Business Park, Cebu City.
• Night shift (US business hours), Monday to Friday, full time.

What you get

• Salary package with regular salary appraisals
• HMO and health insurance
• Night differential and holiday premium pay
• Service incentive leave upon regularization
• Monday to Friday schedule, weekends off
• Full-time direct hire with real room to grow
• Training and upskilling through SOS Academy
• Employee engagement activities and a healthy work environment
• Class A office in Cebu Business Park with backup power and redundant internet

Staff Outsourcing Solutions never asks applicants for payment, training fees or personal documents before a written job offer.