Institutional Claims Specialist - Potential WFH after Training

Institutional Claims Specialist - Potential WFH after Training

Location: Makati
Employment Type: Full‑time
Shift: 6:00 AM – 2:00 PM (PH Time)
Work Setup: Onsite for the first 6 months, with potential work‑from‑home eligibility thereafter based on performance and business needs

Pay Rate: up to Php 45,000

THIS IS AN URGENT HIRING! We will prioritize those who can commit and start ASAP.

About the Role

We are looking for a highly experienced Institutional Claims Specialist with strong hands‑on expertise in US healthcare facility claims adjudication. This role is ideal for a candidate who has worked in a payer, TPA, or managed care environment and can independently review, analyze, and resolve complex hospital claims with accuracy, consistency, and sound judgment.

The ideal candidate has deep knowledge of institutional billing, hospital reimbursement methodologies, and policy‑based claim decision‑making, and is confident ...