💼 Full-Time Position

EDI Specialist (Healthcare) | Work From Home (Pooling)

🏢
Vector Outsourcing Solutions Phils. Inc.
📍 Mandaluyong, Metro Manila, Philippines
📍
Location
Mandaluyong, Philippines
📅
Posted
June 01, 2026
Type
Full-Time
🎯

Full-Time Opportunity: This is a permanent, full-time position with a competitive package and real career growth potential.

Job Description

Salary: PHP 25,000 - PHP 30,000/ month

Job Description:

  • Submitting medical claims to the proper clearinghouse for the insurance payers to review and make the proper decision and payments.
  • Processing & monitoring of all claim reports & electronic documents. (Electronic and Paper Claim Transactions). Logging in and tracking all submission and rejection information.
  • Responsible for obtaining edit reports and repair claims for re submission, test, and ensure repairs are made in a timely manner. Make sure that the claim was sent to the proper clearinghouse.
  • Backup the EDI claim submission and logging of information.
  • Keeps an update of Policy, Regulations and Payer/Clearinghouse changes.
  • Coordinating & testing all Electronic Data Interchange (EDI) implementations with new EDI partners & current clearinghouse.
  • Coordinate and work with clearing houses or trading partners to r...