Micro HMO Claims Specialist

Job Description:The Claims Non-Voice Specialist is responsible for ensuring the effective and efficient delivery of best customer experience in assisting member OP availment via non-voice request by following the benefit plan and supporting the cost management initiatives which will contribute to client retention.Job Qualifications:Graduate of any Bachelor's...

We are currently seeking a highly experienced and motivated Claims Manager to join our insurance team in the Philippines. As a Claims Manager, you will be responsible for overseeing the processing and settlement of insurance claims, ensuring that all claims are handled accurately, efficiently, and in accordance with company policies and regulations.Key...

As the Head of Claims and Customer Service (CS) for Discover ASO Corp. aka SIMPLeTPA, he/she is primarily responsible to assure claims are managed within the specific plan guidelines and charges for claims services are reasonable and customary. In order to perform this role in an efficient manner, the Head of Claims and Customer services will be integral...

ROLE AND RESPONSIBILITIESThe role is responsible to provide claims expertise support by reviewing, researching, investigating, negotiating and resolving all types of claims as well as recovery and resolution for health plans, commercial customers, and government entities. JOB QUALIFICATIONS Graduate of any 4 Year CourseWith a minimum of 3 years experience in...

Liaise for the day-to-day administration of Health Plan, Insurance Coverage and Dental ProgramReport and monitor receipts of additions/deletions, covering endorsements, billing, membership IDs from the Principals, Dependents, and Extended DependentsFile and monitor the status of claims filed for reimbursement by members after pre-adjudication of claims and...

The Company Dexcom Corporation (NASDAQ DXCM; Market Cap $44.3B) is a pioneer and global leader in continuous glucose monitoring (CGM). Dexcom began as a small company with a big dream: To forever change how diabetes is managed. To unlock information and insights that drive better health outcomes. Here we are 25 years later, having pioneered an industry. And...

The SeaMoney team enables and drives innovation by providing a range of financial products and services, including its mobile wallet, ShopeePay, to both individuals and SMEs. Its mission is to better the lives of individuals and businesses in the region with financial services through technology. SeaMoney is a part of Sea Limited, a leading global consumer...

Responsible for assuring that microbiological evaluation and related laboratory activities are executed and implemented in accordance with the policies and procedure as defined in Solaire Resort North Laboratory and Solaire Resort North Integrated Food Safety SystemExecutes analytical and technical services based on the company's guidelines and requirements...

Urgently Ortho Billing Specialist Who We AreUrgently Ortho is a group of orthopedic medical offices based in San Francisco, California. Urgently Ortho offers immediately accessible consultation service for any acute or chronic musculoskeletal injury or pain with an orthopedic specialist. We offer full X-Ray diagnostics and evaluation and will offer...

Urgently Ortho Billing Specialist Who We AreUrgently Ortho is a group of orthopedic medical offices based in San Francisco, California. Urgently Ortho offers immediately accessible consultation service for any acute or chronic musculoskeletal injury or pain with an orthopedic specialist. We offer full X-Ray diagnostics and evaluation and will offer...

About the job Medical Billing and TOS Specialist (VA)Position: Medical Billing and TOS (Time of Service) Specialist Location: Virtual/Remote (VA) Employment Type: Part-Time 20 hours per week Job Summary:We are seeking a detail-oriented and experienced Medical Billing and TOS Specialist to join our team. The ideal candidate will have at least two years of...

Position: Security Specialist System AdministratorSalary Range: PHP88,000 - PHP110,000/month Nightshift Responsibilities:Implement security controls across messaging services and infrastructureMinimum Qualification:At least 7-10 years of experience with Linux system administration and deploymentKnowledge of Linux on various distributions, specially RHEL (Red...

No CALL CENTER/BPO Exp Required for COLLEGE Graduates- Completed 2 years in College with 6months customer service related experience.•Excellent English communication skills•Good comprehension skills•Basic knowledge with MS Office•Willing to work on weekends and holidaysTasks & responsibilitiesAnswer questions about health plans and benefits- Help...

ACE Shared Services, Inc. is looking for a Fleet Management Specialist to provide support in dispatching of vehicles and transporting employees, monitoring of company fleet and benefit vehicles, creating of reports, and other tasks related to fleet management. Duties and Responsibilities:Analyzes and solves problems in relation to Fleet Management Maintains...

Supervisors/Team Leaders (Call Centre & Customer Service) Vita Max Prime Trading Inc. is looking for candidates for Senior Customer Service RepresentativeDuties and Responsibilities:Maintain thorough documentation of all claims processes and outcomes.Communicate clearly and effectively with customers.Ensure high levels of customer satisfaction. Ability to...

Geode Health is a rapidly growing, national provider of outpatient mental health services. Our mission is 'To empower our patients to live healthier, more rewarding lives through access to exceptional care tailored to their needs.'Reporting to the Billing Manager, AR Specialist is responsible for managing insurance and/or patient A/R to include: edits,...

The Clinical Denial Specialist conducts comprehensive reviews of the claim denial, account/guarantor notes associated with the denial, and the medical record to make determinations if a revised claim needs to be submitted, if a retro authorization needs to be obtained, if a written appeal is needed, or if no action is .

Underwriting Operations SpecialistPermanent PlacementNight shiftOnsite - Commonwealth Quezon CityThe Underwriting Operations Specialist will process new business submissions, clearance, and renewals. The role will be responsible for ensuring all verified data required for the policy set up is received and processed according to time service standards and...

The Influencer Marketing Manager will play an integral role in building, and maintaining relationships with influencers. The successful candidate will track and execute influencer marketing projects across a diverse range of channels. Job DescriptionEstablish and maintain regular communication between the brand and influencer partners, actively source and...

Opportunity Expired JPMorgan Chase & Co. is hiring for the role of Customer Service Specialist. The Customer Service Specialist is responsible for providing outstanding service to our customers by providing timely resolutions to their queries. They will correspond with our customers through inbound/outbound calls regarding transactions on their accounts such...