Claims Reconciliation Specialist

Eastwest Healthcare Inc,.; Philippines; On-site; PHP 240,000 - 420,000; Full time

Job summary

Eastwest Healthcare Inc. is seeking a detail-focusedReconciliation Specialist in the Philippines to support claims reconciliation, billing and finance processes.

You will prepare assessments and reports, review system-wide claims for discrepancies, and coordinate with teams to resolve issues efficiently. The ideal candidate has a Bachelor’s degree in Business, Accounting, or related field, 1–3 years of experience, and strong Excel/data-management skills.

Qualifications

• ,

Responsibilities

• Prepare reconciliation assessments and summary reports.
• Review claims across systems to identify underpayments, overpayments, denials, and adjustments.
• Analyze and resolve discrepancies to ensure accurate payments.
• Coordinate with Claims, Finance, and Providers to resolve issues.
• Serve as contact for reconciled claim inquiries.
• Identify trends, gaps, and process issues; recommend improvements.
• Ensure compliance with policies, regulations, and financial controls.

Skills

Analytical skills

Attention to detail

Excel proficiency

Data management

Communication skills

Organizational skills

Confidential data handling

Education

Bachelor’s degree in Business, Accounting, Finance, or related field

Tools

Microsoft Excel

Job description

Qualification:

• Bachelor’s degree in Business, Accounting, Finance, or related field.
• 1–3 years’ experience in claims, billing, reconciliation, or finance.
• Knowledge of healthcare claims and reconciliation processes.
• Strong analytical and attention-to-detail skills.
• Proficient in Microsoft Excel and data management.
• Good communication and organizational skills.
• Able to handle confidential data and meet deadlines.

Job Description:

• Prepare reconciliation assessments and summary reports.
• Review claims across systems to identify underpayments, overpayments, denials, and adjustments.
• Analyze and resolve discrepancies to ensure accurate payments.
• Coordinate with Claims, Finance, and Providers to resolve issues.
• Serve as contact for reconciled claim inquiries.
• Identify trends, gaps, and process issues; recommend improvements.
• Ensure compliance with policies, regulations, and financial controls.