Reimbursement Claims Processor

Eastwest Healthcare Inc,.; Makati; On-site; PHP 240,000 - 360,000; Full time

Job summary

Eastwest Healthcare Inc. in Makati is seeking a Claims Processor to review and process medical claims accurately and on time. The role requires 1–2 years of experience and a bachelor’s degree in a related field.

You will encode claim details, update system records, and coordinate with internal departments to resolve claim issues while ensuring compliance with benefit guidelines. Proficiency in Microsoft Office is expected.

Qualifications

• Bachelor’s degree in health administration, nursing, Medical technology, Business Administration or any related field.
• 1–2 years of relevant experience preferred.
• Knowledge of medical claims processing and healthcare insurance.
• Strong attention to detail, communication, and organizational skills.
• Proficient in Microsoft Office applications.
• Medical-related license is an advantage but not required.

Responsibilities

• Review and process medical claims accurately and on time.
• Meet daily productivity and quality targets.
• Ensure compliance with company policies and benefit guidelines.
• Encode claim details and update system records.
• Coordinate with internal departments to resolve claim issues.
• Identify workflow improvements and participate in required training.

Skills

Attention to detail

Communication

Organizational skills

Medical claims processing

Healthcare insurance knowledge

Education

Bachelor’s degree in health administration, nursing, Medical technology, Business Administration or related field

Tools

Microsoft Office

Job description

Qualifications:

• Bachelor’s degree in health administration, nursing, Medical technology, Business Administration or any related field.

• 1–2 years of relevant experience preferred.

• Knowledge of medical claims processing and healthcare insurance.

• Strong attention to detail, communication, and organizational skills.

• Proficient in Microsoft Office applications.

• Medical-related license is an advantage but not required.

Key Responsibilities:

• Review and process medical claims accurately and on time.

• Meet daily productivity and quality targets.

• Ensure compliance with company policies and benefit guidelines.

• Encode claim details and update system records.

• Coordinate with internal departments to resolve claim issues.

• Identify workflow improvements and participate in required training.