Claims Review & Compliance Specialist

Thornton Tomasetti; Taguig; On-site; PHP 600,000 - 900,000; Full time

Job summary

Abbott in the Philippines seeks a detail-oriented professional to review healthcare claims, ensure accuracy, and maintain patient data across systems. You will resolve discrepancies and coordinate with internal teams to uphold policy and payer guidelines.

Night shifts are required, with a standard workstation setting and access to essential software. The role emphasizes collaboration, precise data handling, and proactive communication to support revenue cycle activities and HR-related tasks

Qualifications

• College diploma or equivalent; higher education in management or healthcare preferred.
• 2+ years in healthcare accounts (Revenue Cycle Management experience preferred).
• 1–2 years data processing experience preferred.
• 1–2 years customer service or provider relations experience preferred.
• Proficiency with technology including computers, software applications, and phone systems.

Responsibilities

• Review submitted claims using a standardized checklist for accuracy and compliance.
• Identify discrepancies and non-compliance issues (Failpoints) and communicate to internal departments for corrective action.
• Maintain accurate patient information in relevant data management systems.
• Respond to inquiries from insurance companies, patients and internal departments.
• Perform other related duties as assigned.

Skills

Interpersonal skills

Communication

Time management

Technical skills

Excel/Word/Outlook

Alere data systems

Computer skills

Education

College diploma

Healthcare/management education preferred

Tools

Alere Home Monitoring

Job description

Abbott in the Philippines seeks a detail-oriented professional to review healthcare claims, ensure accuracy, and maintain patient data across systems. You will resolve discrepancies and coordinate with internal teams to uphold policy and payer guidelines.

Night shifts are required, with a standard workstation setting and access to essential software. The role emphasizes collaboration, precise data handling, and proactive communication to support revenue cycle activities and HR-related tasks