Hospital Claims Team Leader - Potential WFH after Training

Hospital Claims Team Leader - Potential WFH after Training

Location: Makati

Employment Type: Full-time

Shift: Tuesday to Saturday, 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

About the Role

We are looking for a highly experienced Hospital Claims Team Leader 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 handling complex inpatient and outpatient claims while managing a team of 10‑12 Hospital Claim Exami...