Insurance / Claims Representative | Night Shift | Onsite | Start ASAP

Staff Outsourcing Solutions; Cebu City; On-site; PHP 201,000 - 290,000; Full time

Benefits offered by this job

HMO/Health Insurance

Career Growth

Full-time employment

Job summary

Staff Outsourcing Solutions is seeking a candidate with medical claims or denial management experience to read denials, determine causes, and chase resolution. The role involves reviewing, processing, and managing medical insurance claims, and following up with insurers until issues are resolved.

The ideal applicant has at least 1 year in medical claims, hands-on experience with medical insurance workflows, and strong communication.

Qualifications

• At least 1 year in medical claims or denial management.
• Hands-on experience with medical insurance and claims workflows.
• Strong attention to detail and organizational skills.
• Clear written and verbal communication.
• Hospital or physical billing experience is a plus.

Responsibilities

• Review, process, and manage medical insurance claims.
• Investigate denial reasons and follow up with insurers until resolved.
• Apply insurance guidelines and keep processing complaints.
• Coordinate with internal teams, insurers, and other stakeholders.

Skills

Medical claims

Denial management

Attention to detail

Written & verbal communication

Job description

If you've worked in medical claims and denial management, this is your lane. We need someone who can read a denial, understand why it happened, and chase it down until it's resolved.

What you'll do:

• Review, process, and manage medical insurance claims
• Investigate denial reasons and follow up with insurers until resolved
• Apply insurance guidelines and keep processing complaints
• Coordinate with internal teams, insurers, and other stakeholders

What we need:

• At least 1 year in medical claims or denial management
• Hands-on experience with medical insurance and claims workflows
• Strong attention to detail and organizational skills
• Clear written and verbal communication
• Hospital or physical billing experience is a plus

NOTE:

This role requires medical insurance or claims experience. Life, auto, or denial claims alone won't qualify.

Why apply with us?

• Competitive Compensation package with Salary Appraisals
• Account Incentives / Bonuses Offered
• Equipped with the latest technologies
• Monthly Incentive Rewards on successful orders and Attendance Productivity
• Offers Full-time employment and Career Growth
• Easily accessible from almost any part of the Metro Cebu area.
• Service Incentive Leaves Upon Regularization
• Attendance Productivity Incentives
• Additional Hazard Pay within Qualifying Hours
• Stable Job with Salary Appraisals
• Holiday and Night Differential Premium Pay Rates
• Job Promotion is highly possible... if YOU have the drive.
• HMO/Health Insurance
• Work-Life Balance
• Free Pre-hiring Medical Laboratories
• Free Coffee

Staff Outsourcing Solutions, is an offshoring and outsourcing solutions provider based in Cebu. We enable foreign businesses to reduce costs, increase flexibility, and extend their global output by providing the most efficient ways we deliver our services. Our unique approach with dedication and commitment effectively removes the stress and conflict that would normally exist in businesses that are consistently keeping up with today's global demands.

Staff Outsourcing Solutions firmly believes in being transparent to its clients to apply effective ways to deliver results that extend your global reach. The variety of services we offer that targets specific market segments makes us a reliable and long-term solid partner to our clients. The opportunities we provide enabled us to serve several business organizations ranging from small start-ups to mid-size multinationals. With the core competencies of our professional workforce with excellent proficiency in English and flexible services, Staff Outsourcing Solutions is the right partner as an offshore and BPO solutions provider.

Overview:

Staff Outsourcing Solutions specializes in hosting, setting up, and managing offshore business operations in the Philippines on behalf of our clients from all over the world. Through offshoring business processes, our clients drastically reduce operational costs, increase flexibility, expand the reach on their operations globally, meet the increasing demand, and provide quality solutions around the world. The unique services we cater to our client's needs adapt to their specific needs. Staff Outsourcing Solutions has been flexible in offering services to different foreign business organizations, from small and medium-sized businesses to large multinational corporations.

For more information about our company, visit the following sites:

Website: www.staffoutsourcing.com
Facebook Page: https://www.facebook.com/staffoutsourcingsolutions/
Instagram: @staffoutsourcingsolutions
LinkedIn: https://www.linkedin.com/company/13194738/admin/

Location:

Lower Ground Floor MDCT Building, Leyte Loop, Cebu Business Park, Hipodromo, Cebu City