Remote EDI Claims Specialist (Healthcare)

Vector Outsourcing Solutions Philippines; Manila; Remote; PHP 279,000 - 391,000; Full time

Benefits offered by this job

Maternity & Paternity Leave

Government Contribution (SSS, Pag-ibig

13th Month Pay

Paid Holidays

Bereavement Leave

Paid Vacation Leave

Paid Sick Leave

Work from Home

Night shift differential pay

Php 1,000 De Minimis

Php 1,000 monthly bonus upon regulariz

HMO upon regularization

Job summary

Vector Outsourcing Solutions Philippines is seeking an EDI/Medical Billing Specialist to submit claims to clearinghouses, monitor electronic documents, and coordinate with payers and trading partners to resolve issues.

The role requires at least 2 years in Healthcare EDI or billing, strong analytical and communication skills, and willingness to work in a consultancy contract (minimum 6 months). A Work from Home option is available, with a night shift differential.

Qualifications

• At least 2 years of experience in Healthcare EDI, Medical Billing, or Claims Processing.
• Knowledge of EDI processes, claim submissions, clearinghouses, and rejection management.
• Familiar with healthcare insurance payers, claim edits, and reimbursement processes.
• Experience using EHR/EMR systems and billing software is preferred.

Responsibilities

• Submit medical claims to proper clearinghouse for payer review and payment.
• Process and monitor claim reports and electronic documents.
• Log and track submission and rejection information.
• Obtain edit reports and repair claims for re-submission timely.
• Cooperate with clearinghouses and trading partners to resolve EDI issues.

Skills

EDI processes

Claim submissions

Clearinghouses

Rejection management

Data analysis

Tools

EHR/EMR systems

Billing software

Job description

Vector Outsourcing Solutions Philippines is seeking an EDI/Medical Billing Specialist to submit claims to clearinghouses, monitor electronic documents, and coordinate with payers and trading partners to resolve issues.

The role requires at least 2 years in Healthcare EDI or billing, strong analytical and communication skills, and willingness to work in a consultancy contract (minimum 6 months). A Work from Home option is available, with a night shift differential.