Subrogation & Medical Claims Virtual Assistant

Revaya; Philippines; On-site; PHP 279,000 - 502,000; Full time

Job summary

Revaya in the Philippines is seeking a reliable Subrogation Virtual Assistant to support our Subrogation Department in handling medical billing, health insurance claims, and portal workflows. The role involves opening and managing subrogation claims (Medi-Cal, Medicare, VA), communicating with providers and insurers, and ensuring HIPAA compliance while maintaining accurate records.

Ideal candidates have experience with DHCS/Medicare portals and strong organization to manage multiple claims

Qualifications

• Experience in subrogation, medical billing, insurance claims, or healthcare administration.
• Familiarity with Medi-Cal, Medicare, VA, and private health insurance.
• Experience using DHCS and Medicare portals.
• Knowledge of HIPAA and Letters of Representation (LORs).
• Strong communication, organization, follow-up, and documentation skills.
• Ability to work independently and manage multiple claims and tasks efficiently.

Responsibilities

• Open and manage subrogation claims involving Medi-Cal, Medicare, private health plans, and VA claims.
• Perform medical billing follow-up with healthcare providers, including hospitals, emergency room physicians, radiology providers, and other medical facilities.
• Handle and process HIPAA Letters of Representation (LORs).
• Communicate with health insurance plans and understand insurance benefits, coverage, fees, and claims processes.
• Follow up with subrogation agencies to obtain itemized medical statements, final liens, and related documentation.
• Navigate and utilize the DHCS and Medicare portals to research claims, benefits, and lien information.
• Maintain accurate records and follow up on outstanding claims and documentation.
• Communicate professionally with insurance carriers, healthcare providers, subrogation agencies, and other relevant parties.
• Maintain confidentiality and comply with HIPAA and applicable privacy requirements.

Skills

Subrogation experience

Medical billing

Insurance claims

Healthcare administration

Communication

Organizational skills

Tools

DHCS portal

Medicare portal

Insurance portals

Job description

Revaya in the Philippines is seeking a reliable Subrogation Virtual Assistant to support our Subrogation Department in handling medical billing, health insurance claims, and portal workflows. The role involves opening and managing subrogation claims (Medi-Cal, Medicare, VA), communicating with providers and insurers, and ensuring HIPAA compliance while maintaining accurate records.

Ideal candidates have experience with DHCS/Medicare portals and strong organization to manage multiple claims