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Claims Processing Executive

4 open positions
As part of the Tech Enabled Services (TES) Team of Kavi Philippines, the Claims Resolution Specialist contacts patients, employees, medical representatives, and other responsible parties to gather information related to collecting payments for complex claims. 
Iloilo City, Philippines
Operations
Probationary

Coding Denials Auditor

1 open position
The Coding Denials Auditor is responsible for reviewing, auditing, and accurately coding inpatient, outpatient, and professional claims to ensure proper reimbursement, compliance with billing regulations, and adherence to coding standards. This role collaborates with revenue cycle teams and serves as a subject matter expert on coding practices, with a special focus on claim denials and appeals.
Iloilo City, Philippines
Rev Pro

Assistant Manager

1 open position
KAVI Philippines is looking for an experienced Assistant Manager to join our healthcare claims processing team. Supporting the Operations Manager and help lead a team of approximately 25 Claims Processing Executive. Focusing on performance monitoring, coaching, and process improvement to ensure operational success.
Iloilo City, Philippines
Operations

Senior Sales Executive

1 open position
We are seeking a results-driven Senior Sales Executive to drive business growth by acquiring new clients and expanding our market presence across Panay and the Philippines. The ideal candidate has a strong background in IT and BPO solutions sales, excels at building long-term client relationships, and consistently achieves revenue targets.
Iloilo City, Philippines

Associate Director

1 open position

Kavi Philippines is seeking an experienced and results-driven Associate Director – Operations to lead our healthcare claims processing delivery center. This strategic leadership role is responsible for overseeing multiple operational teams through Operations Manager / Assistant Managers, driving service excellence, operational efficiency, and client satisfaction across a large-scale Revenue Cycle Management (RCM) environment.

The ideal candidate will have extensive experience in healthcare back-office operations, particularly in RCM, Accounts Receivable (AR), or healthcare claims management, along with a proven track record of leading large teams and delivering measurable business outcomes. 

Iloilo City, Philippines

Junior Data Scientist

1 open position
We are looking for a driven and curious Data Scientist to join our growing AI & Data Science team. The ideal candidate will have a foundational understanding of data analysis and machine learning, with a strong interest in emerging AI paradigms such as Retrieval-Augmented Generation (RAG) and agentic AI systems. This role provides an exciting opportunity to work on real-world applications of LLMs and support the development of intelligent, task-oriented agents. 
Iloilo City, Philippines

Power BI Developer

We are seeking a skilled Power BI Developer to join our team. The ideal candidate will have a strong background in data analysis and visualization, with the ability to transform data into actionable insights using Power BI.
Iloilo City, Philippines

Recruiter

KAVI Philippines is seeking a Recruiter to support our Philippines operations by sourcing and hiring Philippines-based IT and BPO talent, including high-volume roles. The role involves end-to-end recruitment and close coordination with internal stakeholders and recruitment teams in the Philippines and India to ensure timely and quality hiring.
Iloilo City, Philippines
HR

Clinical Nurse Auditor

KAVI Philippines is seeking a Clinical Nurse Auditor to perform comprehensive clinical audits for high-complexity claims. This role ensures medical necessity, regulatory compliance, and adherence to payer guidelines. You will apply your clinical judgment to evaluate services, admission status, level of care, and coverage determinations, while partnering with internal and external stakeholders to support accurate reimbursement and clinical appeals. 
Iloilo City, Philippines
Rev Pro
We empower businesses with Data, Analytics, and AI, turning complex problems into smart solutions. We embrace innovation, emerging technologies, and design thinking to deliver real impact for our clients.

Join our team to learn, grow, and create solutions that truly make a difference in business and for people.