ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Biller Specialist to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you!

Roles and Responsibilities:

• calling insurances to follow up claims

• At least 6 months experience in Medical Billing
• at least 6 month healthcare experience
• Detail Oriented
• Good communication skills
• can work on a shifting schedule

What can we offer you?

• Competitive salary and benefits
• Health Insurance with free dependents*
• 10%-night differential
• Attendance Bonus
• Paid time off
• Convertible to cash leave credits
• Performance Appraisal
• Work-life balance
• A focus on growing your career path with us
• We encourage you to follow your passions and learn new skills

Our commitment to you

• Strong culture and values-driven leadership
• We create opportunities for you to learn and grow at any stage of your career
• Continuous learning and innovation
• We foster an all inclusive environment where everyone thrives

Salary: P50,000 to P60,000 (Monthly Package)

Schedule: Tuesday – Saturday (01:00 AM - 10:00 AM MNL)

What are we looking for?

Skills Required:

• Combined years of experience in Healthcare Industry and Customer Service.
• Strong organizational skills.
• Provide high-level customer service combined with active listening.
• Ability to handle multiple priorities.
• Patience when handling tough patient scenarios.
• Able to perform under pressure while maintaining a positive attitude on a fast paced team.
• Knowledgeable in computer and other communication tools. 

What will you do?

• Serve as the primary point of contact for patients and their families. They handle inquiries, provide information about services and procedures, schedule appointments, and address concerns or complaints. Effective communication skills, empathy, and a patient-centered approach are essential in this role.
• Responsible for managing appointment schedules for healthcare providers. They coordinate with patients to find suitable appointment times, ensuring efficient use of provider availability and minimizing wait times.
• Assist with the registration process for new patients, collecting necessary personal and medical information, verifying insurance coverage, and ensuring all required documentation is completed accurately.  
• Verify insurance benefits for patients and help patients understand their coverage and financial responsibilities.
• Maintain and update patient records, ensuring they are accurate, confidential, and accessible.
• Acts as advocates for patients, helping them navigate the healthcare system, understand their rights, and access appropriate resources or support services. They may provide information on community resources, support groups, or financial assistance programs, as well as address any concerns or complaints raised by patients.
• Provide administrative support to healthcare providers and other staff members. This may include managing office supplies, maintaining appointment calendars, preparing correspondence, coordinating meetings, and assisting with other clerical tasks as needed.

Join the awesome team and enjoy these benefits & perks:

• Home-based work setup
• Medical, Dental Coverage and Life insurance from day 1 of employment
• Paid Vacation and Sick Leave (with Quarterly Sick Leave Conversion)
• Competitive salary package and annual appraisal
• Financial Assistance Program
• Mandatory Government Benefits and 13th Month Pay
• Complimentary Sleeping Quarters, Coffee at no cost
• Complimentary Office Fitness and Wellness Facilities at no cost
• Regular Company Events, Work Life Balance, and Career growth opportunities
• Accessible location at the heart of Metro Manila --- the Mega Tower, EDSA

JOIN CONNECTOS NOW!

ConnectOS is certified as a Great Place to Work and is a top-rated Philippines employer of choice.

A periodontal practice situated in the heart of Silicon Valley. The Bay Area practice believes the best possible outcomes are from conservative, cutting edge, and predictable treatments.

#ConnectOS #ConnectOSCareers #TeamConnectOS

Equal Employment Statement

Employment decisions at ConnectOS will be conducted without consideration of factors such as age’, race, color, religion, gender, disability status, sexual orientation, gender identity or expression, genetic information, and marital status. ConnectOS ensures the full confidentiality of the data it processes.

STA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Biller Associates to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you!

• Contact patients via phone, email, or mail to discuss outstanding balances, explain charges, and address any concerns or questions related to their bills.
• Work closely with insurance companies to resolve claims denials, rejections, or discrepancies, ensuring accurate and timely payment.
• Establish and negotiate payment plans with patients, based on their financial situation and organization policies.
• Confirm and update patient demographic and insurance information to ensure accurate billing.
• Maintain detailed records of all communications, payment arrangements, and actions taken in the collections process.
• Stay informed about healthcare billing regulations, compliance requirements, and privacy laws (e.g., HIPAA) to ensure all practices are in accordance with industry standards.
• Provide exceptional customer service, demonstrating empathy and professionalism in all interactions with patients and responsible parties.

• At least 6 months of Medical Billing experience focused on Revenue Cycle Management/ Accounts Receivable 
• Good Working knowledge (US Healthcare, Claim Denial / Rejections)
• Good written and verbal English communication skills
• Detail-oriented
• Amenable to work ONSITE in Makati
• OK to work on night shifts, with overtime whenever needed

What can we offer you?

• Competitive salary and benefits
• Health Insurance with free dependents*
• 10%-night differential
• Attendance Bonus
• Paid time off
• Convertible to cash leave credits
• Performance Appraisal
• Work-life balance
• A focus on growing your career path with us
• We encourage you to follow your passions and learn new skills

Our commitment to you

• Strong culture and values-driven leadership
• We create opportunities for you to learn and grow at any stage of your career
• Continuous learning and innovation
• We foster an all inclusive environment where everyone thrives

We are six years into our journey and are excited to be evolving our approach to our Client relationships.  As such, Boldr is deploying a Strategic Business Unit (SBU) focus. 

The Head of our Health & Wellness SBU will be responsible for co-creating the strategy and executing this strategy to grow our Client relationships. You will be responsible for identifying trends across our Client base and deriving themes from these trends. You will dive into research around the Healthcare and Wellness sectors and learn how typical business models and customer support work so that you can truly partner with our Clients. You’ll understand the technology landscape and ecosystems that support these businesses and know how we fit into their ‘stack’. The ideal candidate for this position is somebody with a strong entrepreneurial mindset to deliver on our day-to-day KPIs and proactively make recommendations to our Clients to support them in their business and build true partnerships. 

In this role, you will have the opportunity to engage with Clients in pre-sales and post-sales. You will be responsible for the overall health of this industry business unit. 

We’re looking for a self-starter, hard-working, and dedicated team member to jump in and be a key part of our Client Experience team. 

In this role, you are responsible for maintaining and nurturing Boldr’s Client relationships and developing and empowering Boldr’s CX Managers to succeed in their roles. You will act as a business owner, taking full accountability for the success of your Clients and team members, ensuring they are fully equipped to meet our clients' commitments and do so with the highest quality. 

You will help foster a healthy working environment for our team members. You will represent Boldr to our Clients and act as our internal Client across various departments. You will need to be laser-focused on our operational performance and daily management and mentorship of global Client Experience Managers. 

You are...

• Curious and authentic, just like us! #beboldr 
• An excellent communicator across all stakeholders
• An analytical and critical thinker, with an eye for even the most minute of details
• Passionate about Client satisfaction 
• Proactive and self-motivated
• Borderline obsessive, curious, keen to learn, grow and inspire to share your skills and talents with the team.
• A confident yet humble servant leader who is self-aware and willing to ask for help
• A quick learner
• Adept at giving as well as taking direction
• Able to understand and prepare for the impact of a simple “yes”; able to provide alternative solutions when “no” is necessary
• Able to DO and DELEGATE; understand the different circumstances where each is necessary
• Purposeful with a sense of urgency
• Able to connect with team members, Clients, and internal customers
• Able to manage conflict, redirect differences towards a common goal

You have the ability to...

• Focus on listening and understanding what other people are saying, ask questions as appropriate, and not interrupt at inappropriate times.
• Maintain an open dialogue with the organization's external and internal Client partners in both positive and negative situations.
• Read, research, and draft letters, emails,  and documents.
• Identify complex problems and review related information to develop and evaluate options and implement solutions.
• Speaking in a public setting and delivering presentations to individuals and groups.
• Cope effectively with losses or rejections by moving on to other challenges and learning from past experiences. 
• Use all Google suite products. 

Your experience includes…

• 4+ years in a Client facing role
• 4+ years of knowledge of BPO,  Staffing, Tech, or other Business Service  Industries 
• 4+ years of people management experience

• Law Benefits
• Private Health Insurance
• Paid Time Off
• Training
• Life insurance
• Mental Health Support
• Learning and Development Programs

WHAT YOU’LL LIKE ABOUT US

● Great company culture! Our diverse backgrounds, commitment, and passion are the things that make us great.

● We geek out on new ideas, proposals, and anything that will positively impact our clients, and of course, you!

● We’ve got training sessions in-store to help you level up your skill set.

● With you on Boldr’s side, we’ll tackle social responsibility initiatives together.

● We have rest and relaxation benefits.

Rentokil Initial

Rentokil Initial is an international business services company employing 57,700 colleagues across 90 countries.

We strive to protect people and enhance lives, for example by controlling pests, and improving hygiene. We are experts in the fields we operate in, investing in training, science, innovation and technology. Listening and acting on feedback is part of our culture to support colleagues and our customers. Rentokil Initial regards equality and fairness as a fundamental right of all of its colleagues. We live our values of Service, Relationships and Teamwork which were identified by our colleagues across the world.

Awards

Rentokil InitiaI Philippines is officially ranked in the top three most engaged places to work in the Philippines, as part of the annual Korn Ferry Employee Engagement Awards 2018.

Philippine Best Employer Brand Awards 2019.

Find out more on careers.rentokil-initial.com

Your day-to-day responsibilities will include:

• Provides first-aid treatments and medications for employees as needed
• Assess and determine the health status of the employee, includes recommendation like sent home or back to work
• Work with SHE to plan and implement programs designed to improve the overall health of employees
• Refers/ transports ill employees to the hospital as necessary
• Conducts regular inventory of medicines and medical supplies
• Prepares purchase or requisition of medicines as necessary to ensure availability of all medical supplies
• Creates health and safety awareness among employees
• Maintains employees medical and other similar records
• Schedules and implements annual/ periodical/ special examination of employees
• Support HR/Admin and other related activities
• Knows how to navigate engine drive.
• Computer literate.

Do you have what it takes? If you want to be considered for this role you will need:

• Must be a registered Nurse
• Preferably with 1 year related experience
• Preferably a member of Occupational Health Nurses Association of the Philippines (OHNAP) with Basic Occupational Safety and Health (BOSH) Certificate
• Male and/or Female are welcome to apply

Are you interested? Here's what you can expect when you join us.

Benefits From Start Date

• HMO (Health Insurance)
• Group Personal Accident Insurance
• Group Term Life Insurance
• Paid Non working holidays
• 13th Month Pay

Benefits after 6 months of continuous work and pass the performance evaluation;

• Annual pay increase
• Vacation Leave
• Sick Leave (with cash conversion)
• Birthday Leave
• Paternity/Maternity Leave
• Matrimonial Leave
• Bereavement Leave
• Other perks

Rentokil Initial believes in supporting all employees to provide equal opportunities and avoid discrimination. We also place emphasis on workplace diversity which means that we are serious about creating an inclusive environment that accepts each individual's differences, embraces their strengths and provides opportunities for all colleagues to achieve their full potential.

Do you love to provide a valued professional service throughout your community? Do you feel like you could do the job well? Apply for the role today!

The Site CSR is primarily responsible for making outbound calls to and accepting inbound calls from healthcare providers to answer questions about the requirement to participate, assistance with registration and login, assessment completion and questions regarding scoring results.

Procurement Operations

• Purchasing of products and services
• Management of purchase requests.
• Verification of purchase requests for appropriate approvals, pricing, quantities, descriptions, and process and ensures correctness.
• Conversation of purchase request / Order placement and complete order processing.
• Review open PR-reports on a weekly basis to ensure timely conversion to PO.
• Contact vendors to follow-up on existing orders to determine status of delivery dates, quantities and method of shipment.
• Verification of order confirmation.
• Verification of contract fulfilment via contract partner.
• Communicate all critical delivery delays/issues with the appropriate clinic/plant and Category Manager (if applicable).
• Support AP SSC (shared service centre) by following up with requestors for missing GRs and clarifying invoice issues with vendors as needed.
• Assist in the resolution of payment issues helping to address vendor name and address, price and quantity discrepancies with invoices and POs.
• Follow up with vendors to ensure credit memos are received from supplier when products are returned or scrapped.
• Research and review open PO-reports on a weekly basis to ensure accuracy of reports and to determine if materials are overdue.
• Assist in facilitating purchase order changes as needed for shortages, price and terms adjustment.
• Escalate issues to supervisor/manager for resolution, as deemed necessary.

Execution of administrative activities related to purchasing

• Execution of internal/ external correspondence.
• Maintain vendor relations through direct personal contact, phone, or written correspondence.
• Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.

Procurement Operations

• Purchasing of products and services
• Management of purchase requests.
• Verification of purchase requests for appropriate approvals, pricing, quantities, descriptions, and process and ensures correctness.
• Conversation of purchase request / Order placement and complete order processing.
• Review open PR-reports on a weekly basis to ensure timely conversion to PO.
• Contact vendors to follow-up on existing orders to determine status of delivery dates, quantities and method of shipment.
• Verification of order confirmation.
• Verification of contract fulfilment via contract partner.
• Communicate all critical delivery delays/issues with the appropriate clinic/plant and Category Manager (if applicable).
• Support AP SSC (shared service centre) by following up with requestors for missing GRs and clarifying invoice issues with vendors as needed.
• Assist in the resolution of payment issues helping to address vendor name and address, price and quantity discrepancies with invoices and POs.
• Follow up with vendors to ensure credit memos are received from supplier when products are returned or scrapped.
• Research and review open PO-reports on a weekly basis to ensure accuracy of reports and to determine if materials are overdue.
• Assist in facilitating purchase order changes as needed for shortages, price and terms adjustment.
• Escalate issues to supervisor/manager for resolution, as deemed necessary.

Execution of administrative activities related to purchasing

• Execution of internal/ external correspondence.
• Maintain vendor relations through direct personal contact, phone, or written correspondence.
• Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.

Procurement Operations

• Purchasing of products and services
• Management of purchase requests.
• Verification of purchase requests for appropriate approvals, pricing, quantities, descriptions, and process and ensures correctness.
• Conversation of purchase request / Order placement and complete order processing.
• Review open PR-reports on a weekly basis to ensure timely conversion to PO.
• Contact vendors to follow-up on existing orders to determine status of delivery dates, quantities and method of shipment.
• Verification of order confirmation.
• Verification of contract fulfilment via contract partner.
• Communicate all critical delivery delays/issues with the appropriate clinic/plant and Category Manager (if applicable).
• Support AP SSC (shared service centre) by following up with requestors for missing GRs and clarifying invoice issues with vendors as needed.
• Assist in the resolution of payment issues helping to address vendor name and address, price and quantity discrepancies with invoices and POs.
• Follow up with vendors to ensure credit memos are received from supplier when products are returned or scrapped.
• Research and review open PO-reports on a weekly basis to ensure accuracy of reports and to determine if materials are overdue.
• Assist in facilitating purchase order changes as needed for shortages, price and terms adjustment.
• Escalate issues to supervisor/manager for resolution, as deemed necessary.

Execution of administrative activities related to purchasing

• Execution of internal/ external correspondence.
• Maintain vendor relations through direct personal contact, phone, or written correspondence.
• Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.

#1 PH Workforce Delivering to the US.

Bizforce and our medical billing division, MedCore Solutions, are seeking skilled Inpatient Medical Coders (Permanent Work from Home) to join our growing team. As a Medical Coder at MedCore, you will be responsible for translating details from a patient's medical documents into medical codes for health insurance claims purposes. Additionally, you will be liaising with the client and team members for coding-related queries and concerns, performing audits for coding denials and missing information, and maintaining a tracking system for coded charts. MedCore allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today!

Who We Are

MedCore Solutions (MCS) is a single-source solution for Healthcare administration. MCS is an industry leader in medical billing, credentialing, scribing, insurance verification, compliance, and virtual staffing.

We offer an expansive suite of administrative products and training to keep your practice and its employees safe and up-to-date with compliance and to avoid fines and litigation. Our online compliance center is quick and easy to use and provides you with an extensive library of training courses, covering OSHA, HIPAA, Human Resources, Health Plan Management, Patient Safety and Regulations, Infection Control, and much more.

Responsibilities

• Translate details from a patient's medical documents into medical codes for health insurance claims purposes
• Ensures accurate data entry of the coding and claims submission for services provided by physicians, including assigning the correct ICD and CPT codes
• Provides support to clinic/practice managers and staff in determining accurate coding and billing practices
• Liaising with the client/provider and team members for coding-related queries and concerns
• Perform audits for coding denials, missing information, and charts
• Maintain a tracking system for the charts coded and ensure work completion
• Research coding and claims questions thoroughly to maintain high-quality standards

Other Details:

• The possible start date will be in 2-4 weeks or earlier
• 8-hour shift Monday-Friday (gravyard shift)
• Weekend days off

• Must be an AAPC/AHIMA certified coder
• At least 1 year of experience in Inpatient Coding
• At least 3-5 years of clinical experience in Medical Coding
• Knowledgeable in US Insurance Plan Structure and HIPAA regulations
• Good oral and verbal English communication skills as well as listening skills
• Capacity to navigate challenging situations with ease
• Willing to work in a graveyard shift (US time zone)

System Requirements

• Own Desktop/Laptop
• Computer Processor: Intel I3/AMD Ryzen 3/MAC Intel I5
• RAM: At least 4GB of RAM (8GB is recommended) with sufficient hard disk space available
• Internet Connectivity: At least 20-25 Mbps and up wired Internet Connection
• Back-up Connections & Power Supply: USB sticks, hotspots, signal-based & wireless connections only for back-up
• Peripherals: Headset with noise-canceling feature

Our Commitment to delivering high-quality results for our clients and the only way to do that is by ensuring a rewarding, respectful, and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From Home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education
• Specialized Training

#1 PH Workforce Delivering to the US.

Bizforce and our medical billing division, MedCore Solutions, are seeking skilled Outpatient Medical Coders (Permanent Work from Home) to join our growing team. As a Medical Coder at MedCore, you will be responsible for translating details from a patient's medical documents into medical codes for health insurance claims purposes. Additionally, you will be liaising with the client and team members for coding-related queries and concerns, performing audits for coding denials and missing information, and maintaining a tracking system for coded charts. MedCore allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today!

Who We Are

MedCore Solutions (MCS) is a single-source solution for Healthcare administration. MCS is an industry leader in medical billing, credentialing, scribing, insurance verification, compliance, and virtual staffing.

We offer an expansive suite of administrative products and training to keep your practice and its employees safe and up-to-date with compliance and to avoid fines and litigation. Our online compliance center is quick and easy to use and provides you with an extensive library of training courses, covering OSHA, HIPAA, Human Resources, Health Plan Management, Patient Safety and Regulations, Infection Control, and much more.

Responsibilities

• Translate details from a patient's medical documents into medical codes for health insurance claims purposes
• Ensures accurate data entry of the coding and claims submission for services provided by physicians, including assigning the correct ICD and CPT codes
• Provides support to clinic/practice managers and staff in determining accurate coding and billing practices
• Liaising with the client/provider and team members for coding-related queries and concerns
• Perform audits for coding denials, missing information, and charts
• Maintain a tracking system for the charts coded and ensure work completion
• Research coding and claims questions thoroughly to maintain high-quality standards

Other Details:

• The possible start date will be in 2-4 weeks or earlier
• 8-hour shift Monday-Friday (gravyard shift)
• Weekend days off

• Must be an AAPC/AHIMA certified coder
• At least 1 year of experience in Outpatient Coding
• At least 3-5 years of clinical experience in Medical Coding
• Knowledgeable in US Insurance Plan Structure and HIPAA regulations
• Good oral and verbal English communication skills as well as listening skills
• Capacity to navigate challenging situations with ease
• Willing to work in a graveyard shift (US time zone)

System Requirements

• Own Desktop/Laptop
• Computer Processor: Intel I3/AMD Ryzen 3/MAC Intel I5
• RAM: At least 4GB of RAM (8GB is recommended) with sufficient hard disk space available
• Internet Connectivity: At least 20-25 Mbps and up wired Internet Connection
• Back-up Connections & Power Supply: USB sticks, hotspots, signal-based & wireless connections only for back-up
• Peripherals: Headset with noise-canceling feature

Our Commitment to delivering high-quality results for our clients and the only way to do that is by ensuring a rewarding, respectful, and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From Home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Continued Education
• Specialized Training

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced PHRN or Registered Nurse Utilization Review to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you!

The Utilization Review Specialist plays a critical role in assessing the utilization of healthcare services to ensure quality care while managing costs. They are responsible for reviewing medical records, treatment plans, and services provided to patients to determine if they meet established guidelines, medical necessity, and standards of care. This role collaborates with healthcare providers, insurance companies, and other stakeholders to optimize patient care and manage healthcare costs.

• will be handling cases from beginning to end
• will see which authorizations are about to expire and they will review the chart, determine their next eligibility, complete that review with the insurance company
• will have to communicate with other departments to gather information that might be missing or incomplete.

• Current and valid PHRN license
• Excellent attention to detail and analytical skills.
• Effective communication and interpersonal abilities.
• Ability to work independently and collaboratively in a team-oriented environment.
• Experience with utilization review and management even if from the insurance perspective is helpful
• can do high level work
• Establishing relationships with the insurance companies and having that personality is important
• Willing to work on a shifting schedule
• Must be residing in Greater Manila Area Only

What can we offer you?

• Competitive salary and benefits
• Health Insurance with free dependents*
• 10%-night differential
• Attendance Bonus
• Paid time off
• Convertible to cash leave credits
• Performance Appraisal
• Work-life balance
• A focus on growing your career path with us
• We encourage you to follow your passions and learn new skills

Our commitment to you

• Strong culture and values-driven leadership
• We create opportunities for you to learn and grow at any stage of your career
• Continuous learning and innovation
• We foster an all inclusive environment where everyone thrives

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced CUSTOMER SERVICE AGENT to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you!

Monthly Salary: PHP 21,000

• At least 6 months of WORK EXPERIENCE in the same role
• Good written and verbal English communication skills
• Amenable to work ONSITE in Mandaluyong
• OK to work on night shifts, with overtime whenever needed

What can we offer you?

• Competitive salary and benefits
• Health Insurance with free dependents*
• 10%-night differential
• Attendance Bonus
• Paid time off
• Convertible to cash leave credits
• Performance Appraisal
• Work-life balance
• A focus on growing your career path with us
• We encourage you to follow your passions and learn new skills

Our commitment to you

• Strong culture and values-driven leadership
• We create opportunities for you to learn and grow at any stage of your career
• Continuous learning and innovation
• We foster an all inclusive environment where everyone thrives

**LOOKING FOR FILIPINOS BASED IN THE PHILIPPINES!!!

Position:  Medical Billing Specialist 

Salary Range:  USD 900-1500 /month

Working Schedule : Monday to Friday 9:00 AM to 5:00 PM EST | 10:00 PM to 6:00 AM Manila Time 

ABOUT THE COMPANY

The company provides individualized services to individuals diagnosed with Autism Spectrum Disorders and other developmental disabilities. 

Responsibilities:

• Responsible for verifying and posting charges, include working denials and rejections.
• Manage enrollment, management, claim submission, and payment posting of patient assistance programs.
• Responsible for posting and monitoring payments from patients and third-party payers.
• Research and correct all insurance denials.
• Verify and obtain required pre-certifications, pre-authorization, pre-determinations or other required notifications from third-party payers.
• Identify delinquent accounts for enhanced collection activities and/or follow-up.
• Perform collection actions, including contacting patients, insurance companies, and/or patient assistance programs by telephone and/or letter and resubmitting claims, as necessary.
• Follow up on unpaid or improperly paid claims as necessary.
• Check and resolve tasks assigned through email, EMR, and other internal communication channels.

• 5+ years of medical billing assistant
• Tools: Google workspace, Microsoft Excel(required) Trello (peferred)
• Must have experience using any CRM tool
• Good written and verbal communication skills

MedCore Solution, Bizforce's medical division, is seeking a skilled WFH Ophthalmology Medical Billers to join our team. As a US Medical AR Specialist, you will manage accounts receivables, coordinate with insurance companies and healthcare providers, handle denied claims, and ensure timely reimbursement of medical expenses. The successful candidate will work from home on a permanent basis and will have the opportunity to work with a dynamic team in a fast-paced environment. BizForce & MedCore Solutions allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world.

Who We Are

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing. Upon your request our team of certified coders, can perform a detailed billing analysis to determine if you are receiving the maximum amount of revenue while conforming to CMS guidelines. Ask how MCS can streamline your hospital or practice making healthcare administration simple, effective, and affordable. We pride ourselves on giving you the best solutions tailored to your practice’s specific needs, so you can focus on your patients and revenue producing activities.

Other details:

Start Date: TBD (earliest is in 2 weeks)

Schedule: 8 hours/day Monday-Friday; 40 hours/week

Days Off: Saturday & Sunday

Time zone: TBD (US work hours)

Duration: Full-time Steady state

• Requirements
• At least 3-5 years of experience as a US Medical Biller
• At least 1 year of experience in Ophthalmology billing
• Knowledge of medical billing and coding practices
• Strong understanding of the healthcare billing process
• Familiarity with healthcare insurance plans and related policies
• Experience with HIPAA regulations
• Excellent communication and customer service skills
• Strong attention to detail
• Strong computer skills and experience with medical billing software.
• Amenable to work in any US time zones (graveyard shift)
• Bonus: NexTech system experience

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Competitive salary

JOB DESCRIPTION:

• Individual contributor that works under limited supervision.
• Applies subject matter knowledge.
• Requires capacity to understand specific needs or requirements to apply skills/knowledge.

• Responsible for promoting and/or selling the organization's products across multiple or non-specified channels in a designated territory by contacting specialists, physicians, pharmacies and/or distributors.

• Education: Associates Degree (± 13 years)

• Minimum 1 year

The base pay for this position is

In specific locations, the pay range may vary from the range posted.

JOB FAMILY:

DIVISION:

LOCATION:

ADDITIONAL LOCATIONS:

WORK SHIFT:

TRAVEL:

MEDICAL SURVEILLANCE:

SIGNIFICANT WORK ACTIVITIES:

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced PHRN or Registered Nurse Utilization Review to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you!

The Utilization Review Specialist plays a critical role in assessing the utilization of healthcare services to ensure quality care while managing costs. They are responsible for reviewing medical records, treatment plans, and services provided to patients to determine if they meet established guidelines, medical necessity, and standards of care. This role collaborates with healthcare providers, insurance companies, and other stakeholders to optimize patient care and manage healthcare costs.

• will be handling cases from beginning to end
• will see which authorizations are about to expire and they will review the chart, determine their next eligibility, complete that review with the insurance company
• will have to communicate with other departments to gather information that might be missing or incomplete.

Qualifications:

• Current and valid PHRN license
• Excellent attention to detail and analytical skills.
• Effective communication and interpersonal abilities.
• Ability to work independently and collaboratively in a team-oriented environment.
• Experience with utilization review and management even if from the insurance perspective is helpful
• can do high level work
• Establishing relationships with the insurance companies and having that personality is important
• Willing to work on a shifting schedule
• Must be residing in Greater Manila Area Only

What can we offer you?

• Competitive salary and benefits
• Health Insurance with free dependents*
• 10%-night differential
• Attendance Bonus
• Paid time off
• Convertible to cash leave credits
• Performance Appraisal
• Work-life balance
• A focus on growing your career path with us
• We encourage you to follow your passions and learn new skills

Our commitment to you

• Stong culture and values-driven leadership
• We create opportunities for you to learn and grow at any stage of your career
• Continuous learning and innovation
• We foster an all-inclusive environment where everyone thrives

• Execute Global People Analytics & Reporting strategy specifically related to global sustainability reporting, development of global KPIs & Management Board reporting, and ad-hoc reporting
• Execute global sustainability reporting and analytics (i.e., NFR, ESG, SASB, GRI, S&P Dow Jones Sustainability Index, Bloomberg Gender Equality Index, Corporate Citizenship Survey, Human Rights Corporation Equality Index), adopting new GSRG reporting requirements & restatement policy and advancing project management & automation
• Reporting for Global KPIs by Line of Business (i.e., Cost per FTE, HC/FTE, Turnover, Hires, Net FTE Impact, Management Level 1 / Management Level 2 Gender Balance)
• Reporting for Quarterly and Annual Management Board reporting
• Ad-hoc reporting and analytics request processing, consulting with key stakeholders to identify requirements and building solutions that answer business questions
• Develop training materials / quick-start guides for Workday reporting and conduct training sessions for various groups (e.g., HRBPs, COEs, business leaders) to optimize self-service reporting
• Support special global projects as assigned (e.g., global engagement survey)
• Consult with key stakeholders to understand business questions and reporting requirements
• Ensure the status of all requests and fulfillment of approved requests is tracked in an intuitive and transparent manner (e.g., within Jira or Dovetail)
• Creates project plans and provides level-of-effort estimates for project tasks
• Prioritize the fulfillment of all requests and partner with other teams as needed for fulfillment
• Ensure all data privacy and information security requirements are considered in the evaluation of all report requests. Determine when requests will need to be escalated for approval and facilitate the approval process
• Maintain awareness of current trends in Workday Reporting and best practices
• Continuously improve end-to-end reporting processes
• Other duties as assigned

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• This job operates in an office setting.  While performing the duties of this job, the employee is regularly required to talk and hear. This role routinely and frequently uses a desk and standard office equipment such as computers, phones, and photocopiers with repetitive motion. 
• This position requires approximately 0% to 5% travel

SUPERVISION:

• None

PURPOSE AND SCOPE:

The Sr Analyst, People Analytics will act as an internal consultant to HR Leadership, HR Business Partners, Business leaders, and other key stakeholders regarding the implications of workforce analytics & insights.  The incumbent will build strong internal customer relationships with stakeholders to define and understand strategic objectives and develop meaningful and actionable analytical solutions to drive workforce decisions.

A core purpose of the role is to answer business questions and provide solutions through the use of people data, advanced analytics techniques and tools. The ideal candidate is a person with practical broad-based experience in business analysis.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Consult and partner with HR and business colleagues to identify opportunities to use people data to improve business results.
• Develop and execute ad hoc and in-depth analyses. Work with different stakeholders to understand the business question to be answered through analytics; define, interpret, and clarify scope of problems/issues and necessary data needs and analyses to be performed. Once the scope and approach are defined, perform analytics that helps the stakeholders make informed business decisions.
• Develop and deliver compelling presentations using data, graphics, and effective storytelling to communicate insights and implications for decision making.  Translate findings into succinct, actionable business insights.
• Use analytical reasoning to proactively identify problems and develop hypotheses and recommend analytics solutions that addresses stakeholder's needs.
• Develop predictive models for attrition, high performance, and talent acquisition to enable forward-looking talent management programs and HR investment.
• Partner with key stakeholders to help drive change management process ensuring sustainability of solutions delivered.
• Advance the use of analytics and statistical thinking across HR; provide coaching and training on use and interpretation of data.
• Partner with other analytical groups throughout the organization to share data and insights and leverage knowledge.
• Monitor industry trend to identify opportunities to adopt leading-edge people analytics solutions. Continuously evolve the best techniques to drive the change required in the organization.
• Other duties as assigned.

Additional responsibilities may include focus on one or more departments or locations.  

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

#1 PH Workforce Delivering to the US.

MedCore Solutions, is seeking a Permanent Work from Home Telephone Triage Nurse (USRN) to join our growing team. MedCore allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world. If you are looking to advance your career and improve your skills with an industry leader, we encourage you to apply today! The traditional model of the office workforce has been shifting as outsourcing has grown in PH at rates never before seen. As global businesses rise out of the pandemic, labor markets have not only tightened but the inflationary rates have caused companies to look for solutions on how to best deliver skilled labor services and results. We are proud to partner with PH and deliver qualified, professional workers, giving our employees the ability to have an unbeatable career and work from home.

Who We Are

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing.

We offer an expansive suite of administrative products and trainings to keep your practice and its employees safe and up to date with compliance and to avoid fines and litigation. Our online compliance center is quick and easy to use, and provides you with an extensive library of training courses, covering OSHA, HIPAA, Human Resources, Health Plan Management, Patient Safety and Regulations, Infection Control, and much more.

What You’ll Do

· Manage patient calls to the nurse line regarding urgent appointments, medication refills, care instructions and a variety of other concerns

· Accurately document all communications in patient’s EMR

· Communicate with providers regarding appropriate patient care and advise patients of care instructions

· Maintains privacy and confidentiality of all patient protected health information according to HIPAA guidelines

• Certified/Licensed USRN
• A detail oriented, multitasker who is passionate about patient care
• Amenable to work in US hour time (graveyard shift)
• An eager people-person who enjoys helping others over the phone
• An excellent communicator who is equally well written and well spoken
• Strong commitment to high level customer service.
• Previous experience working with health insurance, or a health care environment is preferred
• One-year practical work experience in a call center or equivalent customer service environment
• A self-motivated problem solver who works well within a team and also on their own
• Technologically savvy and able to learn multiple computer systems easily
• Adaptable, patient, organized and a critical thinker
• Can work immediately

Other Details:

Schedule: Mondays-Friday 8 hrs/day;40 hrs/week (US timezone)

Days off: Weekends

Duration: Full-time and Steady state

Timezone: TBA

Start date: TBA (earliest is in 2 weeks)

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Competitive salary

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Biller Associate to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you!

Roles and Responsibilities:

• Bills Medicare insurance     
•  Handles the the collection of current  / old collectibles for medicare payer   
• Verifies Medicare coverage and submit reports for billing    

Monthly Salary: PHP 21,000

• At least 6 months of Medical Biller Experience
• healthcare account Experience
• Good written and verbal English communication skills
• Tech savvy and knowledgable in use of basic office application 
• Basic accounting / business related /bookkeeping knowledge (Desired)

What can we offer you?

• Competitive salary and benefits
• Health Insurance with free dependents*
• 10%-night differential
• Attendance Bonus
• Paid time off
• Convertible to cash leave credits
• Performance Appraisal
• Work-life balance
• A focus on growing your career path with us
• We encourage you to follow your passions and learn new skills

Our commitment to you

• Strong culture and values-driven leadership
• We create opportunities for you to learn and grow at any stage of your career
• Continuous learning and innovation
• We foster an all inclusive environment where everyone thrives

#1 PH Workforce Delivering to the US.

Bizforce and our medical billing division, MedCore Solutions, is seeking for a Permanent Work from Home (USRN) Telehealth Nurse (Texas licensed) to join our growing team ASAP. MedCore allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world.

BizForce & MedCore allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world. If you are passionate about patient care, and looking to advance your career with an industry leader, we encourage you to apply today! The traditional model of the office workforce has been shifting as outsourcing has grown in PH at rates never before seen. As global businesses rise out of the pandemic, labor markets have not only tightened but the inflationary rates have caused companies to look for solutions on how to best deliver skilled labor services and results. We are proud to partner with PH and deliver qualified, professional workers, giving our employees the ability to have an unbeatable career and work from home.

Who We Are

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing.

We offer an expansive suite of administrative products and trainings to keep your practice and its employees safe and up to date with compliance and to avoid fines and litigation. Our online compliance center is quick and easy to use, and provides you with an extensive library of training courses, covering OSHA, HIPAA, Human Resources, Health Plan Management, Patient Safety and Regulations, Infection Control, and much more.

What You’ll Do

· Manage patient calls to the nurse line regarding urgent appointments, medication refills, care instructions and a variety of other concerns

· Accurately document all communications in patient’s EMR

· Communicate with providers regarding appropriate patient care and advise patients of care instructions

· Maintains privacy and confidentiality of all patient protected health information according to HIPAA guidelines

Other Details:

Possible start date will be in 2 weeks

8 hour shift Monday-Friday (graveyard shift; Central Standard Time)

Weekend days off

• Active USRN (State of Texas) license
• A detail oriented, multitasker who is passionate about patient care
• Amenable to work in US hour time (graveyard shift) - Central Standard Time
• An eager people-person who enjoys helping others over the phone
• An excellent communicator who is equally well written and well spoken
• Strong commitment to high level customer service.
• Previous experience working with health insurance, or a health care environment is preferred
• One-year practical work experience in a call center or equivalent customer service environment
• A self-motivated problem solver who works well within a team and also on their own
• Technologically savvy and able to learn multiple computer systems easily
• Adaptable, patient, organized and a critical thinker

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

• Permanent Work From home
• Permanent Weekends Off
• Great Company Culture and No Micromanagement
• Benefits

#1 PH Workforce Delivering to the US.

MedCore Solutions, is seeking for a USRN Telehealth Nurse (Permanent Work from Home) to join our growing team ASAP. MedCore allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world.

MedCore allows the best talent in PH to work remotely from home with the latest technology and resources. We are partnering with some of the largest healthcare platforms in the world. If you are passionate about patient care, and looking to advance your career with an industry leader, we encourage you to apply today! The traditional model of the office workforce has been shifting as outsourcing has grown in PH at rates never before seen. As global businesses rise out of the pandemic, labor markets have not only tightened but the inflationary rates have caused companies to look for solutions on how to best deliver skilled labor services and results. We are proud to partner with PH and deliver qualified, professional workers, giving our employees the ability to have an unbeatable career and work from home.

Who We Are

MedCore Solutions (MCS) is a single source solution for Healthcare administration. MCS is an industry leader for medical billing, credentialing, scribing, insurance verification, compliance and virtual staffing.

We offer an expansive suite of administrative products and trainings to keep your practice and its employees safe and up to date with compliance and to avoid fines and litigation. Our online compliance center is quick and easy to use, and provides you with an extensive library of training courses, covering OSHA, HIPAA, Human Resources, Health Plan Management, Patient Safety and Regulations, Infection Control, and much more.

Other Details:

Possible start date will be in 2 weeks

8 hour shift Monday-Friday (graveyard shift)

Weekend days off

What You'll Do

• Manage patient calls to the nurse line regarding urgent appointments, medication refills, care instructions and a variety of other concerns
• Accurately document all communications in patient’s EMR
• Communicate with providers regarding appropriate patient care and advise patients of care instructions
• Maintains privacy and confidentiality of all patient protected health information according to HIPAA guidelines

• Active USRN License
• A detail oriented, multitasker who is passionate about patient care
• Amenable to work in US hour time (graveyard shift)
• An eager people-person who enjoys helping others over the phone
• An excellent communicator who is equally well written and well spoken
• Strong commitment to high level customer service.
• Previous experience working with health insurance, or a health care environment is preferred
• One-year practical work experience in a call center or equivalent customer service environment
• A self-motivated problem solver who works well within a team and also on their own
• Technologically savvy and able to learn multiple computer systems easily
• Adaptable, patient, organized and a critical thinker

Our Commitment to delivering high-quality results for our clients and the only way to do that is ensuring a rewarding, respectful and productive experience for our employees. We hold the same values for both our customers and our employees.

Permanent Work From home

Permanent Weekends Off

Great Company Culture and No Micromanagement

Salary: P80,000 to P120,000 (Monthly Package)

Schedule: Monday – Friday (9:00 AM - 6:00 PM AEST)

What are we looking for?

Skills Required:

• React.js Experience
• Understanding of ES6+ JS
• Experience with state management like Redux or MobX
• Proficiency in front end build tools like WebPack, Babel etc
• RestFul APIs and GraphQL

Nice to Have:

• Familiarity with AWS
• Experience with Server-Side Rendering Code
• Familiarity with CI/CD
• Knowledge of Front-End Automation Testing frameworks like Jest

Join the awesome team and enjoy these benefits & perks:

• Hybrid (2-3 days per week Office-based; 2-3 days per Home-based)
• Medical, Dental Coverage and Life insurance from day 1 of employment
• Paid Vacation and Sick Leave (with Quarterly Sick Leave Conversion)
• Competitive salary package and annual appraisal
• Financial Assistance Program
• Mandatory Government Benefits and 13th Month Pay
• Complimentary Sleeping Quarters, Coffee at no cost
• Complimentary Office Fitness and Wellness Facilities at no cost
• Regular Company Events, Work Life Balance, and Career growth opportunities
• Accessible location at the heart of Metro Manila --- the Mega Tower, EDSA

JOIN CONNECTOS NOW!

ConnectOS is certified as a Great Place to Work and is a top-rated Philippines employer of choice.

Our Australian client is a leading digital health company founded in 2010. They are dedicated to improving health outcomes with their innovative products. They help people make better health decisions and build tools for health professionals and promote better health outcomes by simplifying and modernizing how healthcare can be delivered. Their solutions help millions of patients and health professionals each year.

#ConnectOS #ConnectOSCareers #TeamConnectOS

Equal Employment Statement

Employment decisions at ConnectOS will be conducted without consideration of factors such as age’, race, color, religion, gender, disability status, sexual orientation, gender identity or expression, genetic information, and marital status. ConnectOS ensures the full confidentiality of the data it processes.

ISTA Solutions, an outsourcing/offshoring company, is in search of an experienced Medical Biller Specialist to join our rapidly expanding team. As a member of our team, you will have the opportunity to work with highly skilled professionals, who prioritize employee satisfaction and work-life balance. At ISTA Solutions, we pride ourselves on creating a culture focused on long-term success and life-long learning. We're looking for a team player who is ready to contribute to our mission, just like you!

Responsibilities:

• Perform eligibility and benefits verification for treatments, hospitalizations, and procedures.
• Reviewing patient bills for accuracy and completeness and obtaining any missing information.
• Following up on unpaid claims within the standard billing cycle timeframe.
• Calling insurance companies regarding any discrepancy in payments if necessary
• Identifying and billing secondary or tertiary insurances.

Our offices in Manila:

• Makati Office: 4th Floor Maria Cornelia Building, Urban Ave., Makati City
• Mandaluyong Office: 8th floor 500 Shaw Zentrum, Shaw Blvd, Mandaluyong City

• Currently residing within Cebu, Philippines
• At least 6 months experience in Medical Billing, specifically supporting Medicare and Medicaid
• Detail-oriented
• Good English communication skills
• Can work on night shifts
• Has stable internet connection and ample workstation space at home

What can we offer you?

• Competitive salary and benefits
• Health Insurance with free dependents*
• 10%-night differential
• Attendance Bonus
• Paid time off
• Convertible to cash leave credits
• Performance Appraisal
• Work-life balance
• A focus on growing your career path with us
• We encourage you to follow your passions and learn new skills

Our commitment to you

• Stong culture and values-driven leadership
• We create opportunities for you to learn and grow at any stage of your career
• Continuous learning and innovation
• We foster an all inclusive environment where everyone thrives