Licensed Appeal Writer

Med-Metrix; Manila; On-site; PHP 446,000 - 670,000; Full time

Job summary

Med-Metrix is seeking a Licensed Appeal Writer to support the review of denied insurance claims on behalf of client hospitals. You will work closely with nurses and team members to craft appeal letters and develop strategies to reverse denials.

You will handle PHI in accordance with HIPAA and security policies, ensuring data protection while maintaining efficient appeal workflows and meeting tight deadlines.

Qualifications

• Must hold an active license as a PA, RN, NP, LPN, PT, OT, or equivalent professional license.
• Must be able to prioritize workload based on strict deadlines.
• Must be tech-savvy with ability to quickly learn new software.
• Proficiency in reading medical information and terminology; strong written and verbal communication.

Responsibilities

• Review denied insurance claims
• Review patients’ medical files
• Develop strategies to reverse claim denials
• Manage and organize appeal workflow based on deadlines
• Other duties as assigned
• Handle PHI in compliance with HIPAA standards
• Understand and comply with Information Security and HIPAA policies

Skills

Reading comprehension

Interpersonal skills

Prioritization under deadlines

HIPAA compliance awareness

Tools

Microsoft Office Suite

Job description

Job Description

Posted Sunday, August 9, 2026 at 4:00 PM | Expires Wednesday, September 30, 2026 at 3:59 PM

Job Purpose

The Licensed Appeal Writer supports the Company by reviewing insurance claims denied for payment on behalf of our client hospitals. Working closely with nurses and other team members, the Licensed Appeal Writer creates appeal letters in support

Duties & Responsibilities

• Review denied insurance claims
• Review patients’ medical files
• Develop strategies to reverse claim denials
• Manage and organize appeal workflow based on internal, client-based, and insurance-driven deadlines
• Other duties as assigned
• Use, protect and disclose patients’ protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards
• Understand and comply with Information Security and HIPAA policies and procedures at all times
• Limit viewing of PHI to the absolute minimum as necessary to perform assigned duties

Qualifications

• Must hold an active license as a Physician's Assistant (PA), Registered Nurse (RN), Nurse Practitioner (NP), Licensed Practical Nurse (LPN), Physical Therapist (PT), Occupational Therapist (OT), or an equivalent professional license
• Must be able to prioritize workload based on strict deadlines
• Must be tech-savvy with ability to quickly learn new software
• Must possess a high level of reading comprehension and ability to analyze medical information and terminology
• Proficiency in Microsoft Office Suite
• Strong interpersonal skills, ability to communicate well at all levels of the organization
• Strong problem solving and creative skills and the ability to exercise sound judgment and make decisions based on accurate and timely analyses
• High level of integrity and dependability with a strong sense of urgency and results oriented
• Excellent written and verbal communication skills required
• Gracious and welcoming personality for customer service interaction

Working Conditions

• Must possess a smart-phone or electronic device capable of downloading applications, for multifactor authentication and security purposes.
• Physical Demands: While performing the duties of this job, the employee is occasionally required to move around the work area; Sit; perform manual tasks; operate tools and other office equipment such as computer, computer peripherals and telephones; extend arms; kneel; talk and hear.
• Mental Demands: The employee must be able to follow directions, collaborate with others, and handle stress.
• Work Environment: The noise level in the work environment is usually minimal.

Med-Metrix will not discriminate against any employee or applicant for employment because of race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), political affiliation, military service, veteran status, other non-merit based factors, or any other characteristic protected by federal, state or local law.