MB-0412 · Medical billing
Denied claim appeal
Maria S. · Job leadClosed
Accepted by the clinic billing lead, with evidence attached
Teams across the Philippines. Working the business hours of clients in the US, Europe and Asia-Pacific.
Expert teams in the Philippines, for companies anywhere
We hire capable Filipino professionals, train them on one industry at a time and back every job with AI specialists. Professionals licensed in your country sign off where the law requires it. You pay for accepted results.
Our hours follow yours
- New YorkUnited States
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- PhilippinesYour team
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Job leads work your business day, wherever you are. For the US and Europe, that is the night shift here.
Every job, every approval and every result in one place
Every piece of work is a job: a claim, a tax return, a month-end close, a loan file. Your team in the Philippines works in the same Control Center you see from your office. Open any job to see what done means, where it is, who is waiting on a licensed signature, and the evidence behind the result. See the platform
Choose a job to open its file. Scroll sideways to see the whole screen.
The $15-an-hour expert
Most talk about AI is about replacing workers. We are building the opposite: AI that turns a capable worker into an expert. A great Filipino service rep who is also good with AI can do work that used to wait for a specialist.
The last industrial revolution built a middle class out of factory jobs. This one can build it out of expert jobs, in the Philippines and for the companies they serve.
- The talent
- Smart Filipino professionals hired for judgment and care, not credentials, such as a great service rep.
- The backing
- AI specialists research, draft, check rules and fill in forms. The person leads the job.
- The safeguard
- Professionals licensed in your country sign off wherever the law or the customer requires it.
- The result
- Expert-quality work for companies anywhere at less cost and less waiting, and skilled, well-paid careers in the Philippines.
Why our teams are in the Philippines
English at work
English is an official language of the Philippines and the everyday language of its universities, courts and business.
Your hours, not ours
Teams work your business hours, whether you are in New York, London, Sydney or Tokyo, so jobs move while your office is open.
A deep bench
The country has served companies worldwide with customer and back-office work for over two decades, and trains large numbers of nursing, accounting and business graduates.
Careers, not seats
Our people are employees on a real career path, trained on one industry at a time and paid to grow into harder jobs.
The first ten industries we support
Each one has heavy paperwork, written rules, a deep bench of Filipino talent and a licensed credential that must sign off.
Bookkeeping and accounting
Reconciliations, month-end close, accounts payable and receivable, and clean books ready for review.
Signed off byA licensed accountant in your country reviews wherever an opinion or attestation is needed.
Tax preparation
Individual and business returns, amendments, notices and payment plans, checked line by line.
Signed off byA licensed tax preparer, such as a US CPA or enrolled agent, signs as the preparer of record.
Medical billing and coding
Coding checks, claim submission, denials and payer appeals, worked until the payer pays.
Signed off byA certified medical coder approves before anything is submitted.
Prior authorization and utilization review
Clinical job preparation by Philippine registered nurses: records, criteria checks and payer submissions.
Signed off byA nurse or physician reviewer licensed in your country makes every clinical determination.
Insurance claims and underwriting
First notice, evidence gathering, coverage checks, underwriting files and follow-up until the claim is settled.
Signed off byAn adjuster or underwriter licensed in your jurisdiction decides.
Mortgage and loan processing
File setup, document collection, conditions, verifications and closing packages for lenders.
Signed off byA licensed loan officer or underwriter makes every credit decision.
Legal support and immigration paperwork
Paralegal work, contract and document review, and immigration forms with their evidence and timelines.
Signed off byAn attorney licensed in your jurisdiction reviews. Job leads never give legal advice.
Payroll, HR and benefits administration
Payroll runs, onboarding, benefits enrollment, leave tracking and the filings that follow them.
Signed off byYour HR or benefits compliance lead approves changes before they take effect.
KYC, AML and financial compliance
Customer due diligence, sanctions screening, alert review and job files ready for a decision.
Signed off byYour compliance officer decides on every escalation and report.
Logistics, freight and customs
Shipment tracking, carrier paperwork, delivery exceptions and customs entry documentation.
Signed off byA licensed customs broker files every entry.
How every job runs
Every job starts with a written definition of done. Your side acts three times: to set the goal, to approve, and to accept. Everything between is led by the job lead and backed by AI specialists. If plans change, we replan the remaining steps. We never quietly lower the bar or widen anyone's authority.
| Seven steps, every job | YouSet the goal, approve the action, accept the result. | Licensed reviewerSigns wherever the law in your country requires a license. | Job leadLeads the job from the first goal to the lesson learned. | AI specialistsResearch, draft, check rules and fill in forms. | ||
|---|---|---|---|---|---|---|
| 1 | Set goal | Write down what done means: the result, budget, deadline, risk limits and an accountable owner. | Acts | Not involved | Acts | Not involved |
| 2 | Plan | Choose the mix of people and AI workers that can meet that definition of done. | Not involved | Not involved | Acts | Acts |
| 3 | Rehearse | Run the plan on sample data first, so problems show up before real work starts. | Not involved | Not involved | Acts | Acts |
| 4 | Approve | A named person approves one exact action, amount and deadline. Whoever proposed the work never approves it. | Acts | Not involved | Not involved | Not involved |
| 5 | Do the work | People lead the job. AI specialists research, draft, check rules and fill in forms. | Not involved | Not involved | Acts | Acts |
| 6 | Verify | The named checker compares the result with the definition of done. An AI saying “done” is never proof. | Acts | Acts | Not involved | Not involved |
| 7 | Learn | What worked becomes the new standard, through test, trial and rollout, with rollback. | Not involved | Not involved | Acts | Acts |
- 1
Set goal
Write down what done means: the result, budget, deadline, risk limits and an accountable owner.
YouJob lead
- 2
Plan
Choose the mix of people and AI workers that can meet that definition of done.
Job leadAI specialists
- 3
Rehearse
Run the plan on sample data first, so problems show up before real work starts.
Job leadAI specialists
- 4
Approve
A named person approves one exact action, amount and deadline. Whoever proposed the work never approves it.
You
- 5
Do the work
People lead the job. AI specialists research, draft, check rules and fill in forms.
Job leadAI specialists
- 6
Verify
The named checker compares the result with the definition of done. An AI saying “done” is never proof.
YouLicensed reviewer
- 7
Learn
What worked becomes the new standard, through test, trial and rollout, with rollback.
Job leadAI specialists
Buy accepted results, not hours or seats
Agree up front what done means, who checks it, the budget and the deadline. Only your named checker can accept the work, and every result keeps its evidence.
Dedicated Philippine team
A team sized to your job volume, with agreed service levels.
Pay per accepted outcome
OptionalA fixed price for each result your checker accepts.
Run the platform yourself
Self-hosted and white-labeled, with your own people as the experts.
Questions clients ask us
Do your teams really work our hours?
Yes. Job leads work your business day, wherever you are. For US and European clients that is the night shift in the Philippines; for Australia, Japan and Singapore it is nearly the same day. Each job shows who has it and what happens next, so nothing waits on a call.
Who is responsible if the work is wrong?
Every job names a checker on your side, and a professional licensed in your country signs wherever the law requires a license. Our job leads never sign in their place, and nothing counts as done until your checker accepts it.
How is our data protected?
Job leads work inside the workspace on managed office machines. Before any data moves, we sign the agreements your industry requires, such as a HIPAA business associate agreement. How we handle data
What does it cost?
We price each engagement once we know your job types and monthly volume. You can pay for a dedicated team, or per accepted outcome where done is easy to define.
When can we start?
We are pre-launch and building toward 2027. Talk to us now to plan a first team for your industry and the sign-offs it needs.
Bring us the work that waits too long
Claims, returns, month-end closes, loan files, authorizations, filings. Tell us the industry, how much of it you handle each month and who signs off today. We will tell you honestly whether a Philippine expert team fits.