Location
makati, metro manila, Philippines
Posted
July 26, 2026
Job Description
SYSGEN RPO seeks an experienced claims professional to adjudicate US hospital and facility claims, including inpatient and ER, in a fast-paced Makati setting. You will validate eligibility, apply payer rules, and document clear, defensible claim determinations.
The role requires deep knowledge of UB-04, 837I formats, DRG/APC concepts, and HIPAA compliance, with strong English writing and meticulous attention to detail. Collaboration with audit teams and quality initiatives is expected.
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