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Claims Administrator

Claims Administrator

staff outsourcing solutions
  • Posted 6 days ago
  • Be among the first 10 applicants

Job Description

We are looking for a detail-oriented and organized Claims Admin Support professional to assist the Claims team with patient accounts, documentation, data entry, claim follow-ups, and administrative tasks. The role requires accuracy, strong organizational skills, and the ability to work efficiently across multiple systems and resources.

What we're looking for

Attention to detail

  • Accurately reviews patient accounts, notes, and documentation.
  • Follows directions and priorities provided by the Claims Representative.
  • Maintains accuracy when handling sensitive account and claims information.

Computer and data entry proficiency

  • Comfortable navigating multiple systems and entering data accurately.
  • Able to quickly learn company software, payer portals, and the Inbound Documentation Routing (IDR) system.
  • Comfortable working with multiple screens, applications, and online resources.

Organization and follow-through

  • Effectively manages work queues, follow-up tasks, and deadlines.
  • Ensures outstanding items are properly tracked and resolved in a timely manner.
  • Can prioritize multiple tasks while maintaining accuracy.

Professional communication

  • Communicates clearly and professionally with management and internal teams.
  • Documents account activity thoroughly and accurately.
  • Demonstrates good written and verbal communication skills.

Research and resourcefulness

  • Uses provider portals, payer websites, and internal resources to obtain claim status, authorization information, and other account updates.
  • Demonstrates initiative when researching account or claims-related information.
  • Knows when to escalate issues and seek assistance when needed.

Preferred qualifications

  • Previous experience in claims administration, healthcare, medical billing, patient accounts, or BPO healthcare support is an advantage.
  • Experience working with healthcare systems, payer portals, or patient account platforms is preferred.
  • Strong attention to detail and ability to handle repetitive, process-driven tasks.
  • Ability to work independently while following established procedures and instructions.
  • Willingness to learn new systems, processes, and healthcare-related workflows.

Details

  • Onsite at our office in Cebu Business Park, Cebu City.
  • Night shift (US business hours), Monday to Friday, full time.

What you get

  • Salary package with regular salary appraisals
  • HMO and health insurance
  • Night differential and holiday premium pay
  • Service incentive leave upon regularization
  • Monday to Friday schedule, weekends off
  • Full-time direct hire with real room to grow
  • Training and upskilling through SOS Academy
  • Employee engagement activities and a healthy work environment
  • Class A office in Cebu Business Park with backup power and redundant internet

Staff Outsourcing Solutions never asks applicants for payment, training fees or personal documents before a written job offer.

More Info

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Key Skills

Healthcare systems

Patient account platforms

Inbound Documentation Routing (IDR) system

Payer portals