Total Claims Specialist jobs in Philippines
- Sailor HealthPhilippines
- Insurance claims follow-up and denials management.
- Submit corrected claims and manage appeals when necessary.
- You will spend the majority of your day submitting…
Virtual Auto Insurance Claims Assistant
Often replies in 1 dayAvrek LawPhilippines- Coordinate vehicle inspections, estimates, repairs, and total loss claims.
- Assist clients with property damage claims.
- Maintain accurate notes and records.
- ResultsCXWork from Home
- Our Total Rewards Administrator provides administrative support for the compensation and/ or benefits programs on a day-to-day basis.
- View all ResultsCX jobs - Work from Home jobs - Compensation Specialist jobs in Work from Home
- Salary Search: Total Rewards Administrator salaries in Work from Home
- See popular questions & answers about ResultsCX
- Philippine First Insurance Company Inc....Makati
- Health insurance
- Life insurance
- Company Christmas gift
- Company events
- Prepare supporting payment documentation for reinsurance claims.
- Receive reinsurance claim documents from internal stakeholders or reinsurers.
- Philippine First Insurance Company Inc....Makati
- Health insurance
- Life insurance
- Company Christmas gift
- Company events
- Prepare supporting payment documentation for reinsurance claims.
- Receive reinsurance claim documents from internal stakeholders or reinsurers.
- DXC TechnologyTaguig
- Health insurance
- Life insurance
- Additional leave
- Company events
- Experience handling Workers' Compensation claims.
- Understanding of claims financial workflows and agent fees.
- Provide efficient admin and operational support to…
- View all DXC Technology jobs - Taguig jobs - Claims Specialist jobs in Taguig
- Salary Search: Claims Specialist - Workers Compensation salaries in Taguig
- See popular questions & answers about DXC Technology
- ImagenetLLCMakati
- Maintain clear, complete, and audit-ready claim notes to support all claim decisions.
- Medicare and Medi-Cal claims processing.
- R1 RCM, Inc.Quezon City
- Medical Plan (HMO) from Day 1 of employment with free dependents.
- View all R1 RCM, Inc. jobs - Quezon City jobs - Claims Investigator jobs in Quezon City
- Salary Search: Claims Investigation & Resolution Analyst salaries
- See popular questions & answers about R1 RCM, Inc.
- DXC TechnologyTaguig
- Health insurance
- Life insurance
- Additional leave
- Company events
- Continuous Improvement: Identify process bottlenecks and suggest refinements to claims administration procedures.
- Basic computer literacy is required.
- View all DXC Technology jobs - Taguig jobs
- Salary Search: Claims Specialist salaries in Taguig
- See popular questions & answers about DXC Technology
- DXC TechnologyTaguig
- Health insurance
- Life insurance
- Additional leave
- Company events
- Experience handling Workers' Compensation claims.
- Understanding of claims financial workflows and agent fees.
- Provide efficient admin and operational support to…
- View all DXC Technology jobs - Taguig jobs - Claims Specialist jobs in Taguig
- Salary Search: Claims Specialist - Australian salaries in Taguig
- See popular questions & answers about DXC Technology
- QBECebu City
- Maintain a claim payment register to balance to claims system.
- Handle claims by gathering and evaluating relevant information, mailing claims items, maintaining…
- View all QBE jobs - Cebu City jobs - Senior Claims Associate jobs in Cebu City
- Salary Search: Senior Associate Claims Operations salaries
- See popular questions & answers about QBE
- DXC TechnologyTaguig
- Health insurance
- Life insurance
- Additional leave
- Company events
- Experience handling Workers' Compensation claims.
- Understanding of claims financial workflows and agent fees.
- Identify workflow gaps and suggest ways to improve…
- View all DXC Technology jobs - Taguig jobs - Claims Analyst jobs in Taguig
- Salary Search: Claims Support Analyst - Australian salaries in Taguig
- See popular questions & answers about DXC Technology
- Intellicare (Asalus Corporation)Calamba City
- The Claims Verifier - EPS is responsible for entering and adjudicating a member's out-patient claims based on received claims documents, provider and health…
- View all Intellicare (Asalus Corporation) jobs - Calamba City jobs
- Salary Search: Claims Verifier - EPS (Fixed-Term) salaries
- See popular questions & answers about Intellicare (Asalus Corporation)
- DXC TechnologyTaguig
- Health insurance
- Life insurance
- Additional leave
- Company events
- Experience handling Workers' Compensation claims.
- Understanding of claims financial workflows and agent fees.
- Provide efficient admin and operational support to…
- View all DXC Technology jobs - Taguig jobs - Claims Representative jobs in Taguig
- Salary Search: Claims Support Representative (Australian) salaries in Taguig
- See popular questions & answers about DXC Technology
- Principal Global Services (Philippines) LLCTaguig
- Fully document claim and maintain claim file for all communication.
- Analyze and process information received/not received to decide if claim moves to IGO or if…
- Access HealthcarePasay
- Paid training
- Pay raise
- Health insurance
- Employee discount
- Transportation service provided
- Opportunities for promotion
- Experience with claims management software and electronic claim submission platforms.
- At least 1 year of experience in *healthcare claims processing or claims…
Job Post Details
Medical Claims Billing Specialist (Philippines) - job post
Job details
Pay
- PHP 1,200 - PHP 1,500 a month
Job type
- Full-time
Full job description
About Sailor Health
At Sailor Health, we envision a world where every senior has seamless access to compassionate, effective, and personalized mental health care. Join us on our mission to redefine the golden years, enabling older adults across the nation to live happier, healthier, and more fulfilling lives.
About the Role
Title: Medical Claims Billing Specialist
Location: Remote – Philippines only
Monthly pay rate: USD $1,200–$1,500 (full-time; no other jobs allowed. Compensation within the range will be determined based on experience.)
We’re hiring a full-time remote Medical Claims Billing Specialist to support Sailor Health’s growing Revenue Cycle Management operations. This is a highly execution-driven role focused on ensuring claims are submitted accurately, worked quickly, and reimbursed efficiently.
You will spend the majority of your day submitting medical claims, following up with insurance payers, resolving denials, correcting claim issues, and ensuring timely payment across Medicare and commercial insurance plans. Your work will directly impact the financial health of the company and help ensure patients can continue accessing care without interruption.
This role sits at the intersection of operations, billing, and payer management. It is ideal for someone who is detail-oriented, highly organized, persistent, and experienced in U.S. healthcare billing workflows.
Experience in at least one of the following is absolutely mandatory:
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Medical claims billing
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Revenue cycle management (RCM)
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Insurance claims follow-up and denials management
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Prior experience working in U.S. healthcare
Responsibilities
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Submit medical claims accurately and efficiently to insurance payers
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Review, track, and follow up on denied, rejected, unpaid, or stale claims
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Work directly with insurance companies to resolve billing and reimbursement issues
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Identify and resolve claim errors, eligibility issues, authorization gaps, and payer rejections
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Submit corrected claims and manage appeals when necessary
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Maintain accurate documentation and claim status updates across internal systems
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Monitor aging claims and proactively escalate high-risk accounts or payer issues
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Partner closely with intake, credentialing, clinical, and operations teams to resolve claim blockers quickly
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Ensure timely and accurate workflows related to reimbursement and collections
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Continuously improve billing workflows, operational efficiency, and claim turnaround times
Qualifications
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Prior experience in U.S. healthcare billing or revenue cycle management is required
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Experience working with Medicare and commercial insurance payers strongly preferred
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Strong understanding of claims submission, denials management, appeals, and payer follow-up workflows
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Extremely detail-oriented and organized
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Strong written and verbal English communication skills
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Comfortable handling high-volume operational work with speed and accuracy
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Ability to work independently in a fast-paced environment
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Experience using EHRs, billing systems, clearinghouses, or insurance portals preferred
Why Join Sailor Health
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Mission with impact. Help bring life-changing care to a population that’s too often overlooked.
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Remote-first team. Enjoy the flexibility of remote work while staying closely connected with a thoughtful, collaborative team rooted in purpose.
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Growth and ownership. Be part of a small, agile team where you’ll take initiative, shape key processes, and grow as we grow.
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Make someone’s day – every day. Your work helps older adults and their families feel seen, supported, and cared for.
If this sounds like you, we’d love to connect. Join us in redefining what it means to age with dignity, connection, and mental wellness.