Remote Claims Appeal & Denials Specialist

TASQ Staffing Solutions; Quezon City; Hybrid; PHP 334,800 - 502,200; Full time

Benefits offered by this job

Competitive salary

Night differential

Account incentives

Day 1 HMO and Life Insurance

Fully virtual recruitment process

Job summary

A staffing solutions company is seeking a Claims Specialist in Quezon City to manage claim appeals effectively. The role involves preparing and submitting appeals for denied claims, resolving complex issues, and investigating payment discrepancies. Ideal candidates should have at least three years of experience in healthcare claims and be proficient in English. Benefits include competitive salary, night differential, and Day 1 HMO and Life Insurance. Opportunities for both onsite and home-based work are available.

Qualifications

• At least three years of experience in healthcare claims, denial resolution, or appeal writing.
• Proficient in spoken and written English.
• Experience handling high-volume, low-balance claims is preferred.

Responsibilities

• Prepare and submit clear, well-supported appeals for denied claims.
• Resolve complex denial issues including coding, medical necessity, and policy disputes.
• Investigate payment discrepancies and take corrective steps.

Skills

Experience in healthcare claims

Proficient in English

High-volume claims handling

Familiarity with payer policies

Job description

A staffing solutions company is seeking a Claims Specialist in Quezon City to manage claim appeals effectively. The role involves preparing and submitting appeals for denied claims, resolving complex issues, and investigating payment discrepancies. Ideal candidates should have at least three years of experience in healthcare claims and be proficient in English. Benefits include competitive salary, night differential, and Day 1 HMO and Life Insurance. Opportunities for both onsite and home-based work are available.