Claims Processor

Essential Duties and Responsibilities: •Review and analyze healthcare claims for accuracy, completeness, and adherence to contractual agreements and regulatory guidelines.•Verify member eligibility and benefits coverage for submitted claims.•Evaluate medical documentation to assess the appropriateness of services rendered and coding...

Essential Duties and Responsibilities: • Review and analyze healthcare claims for accuracy, completeness, and adherence to contractual agreements and regulatory guidelines. • Verify member eligibility and benefits coverage for submitted claims. • Evaluate medical documentation to assess the appropriateness of services rendered and coding...

Essential Duties and Responsibilities: • Review and analyze healthcare claims for accuracy, completeness, and adherence to contractual agreements and regulatory guidelines. • Verify member eligibility and benefits coverage for submitted claims. • Evaluate medical documentation to assess the appropriateness of services rendered and coding...

Handle processing of claims within required turnaround time. Also, to handle in-process claims, approved claims, denied claims and claims with requirements based on the Company's policies and procedures. Monitors the status of claims and update the Claims Registry accurately. Receive and log received claims documents and prepares the documentation of claims...

Job PurposeThis job is responsible for the review, analysis and/or adjudication of claims incurred by eligible members of the Client's Network to ensure that they are according to respective benefits plan, policies and standardsand maintains the records system for these claims.Duties and ResponsibilitiesEnsures accurate review of claims documents like LOA,...

Job Description:Identify and implement new claims procedures.Identify, evaluate, and resolve claims in accordance with company standards.Analyze medical claims to ensure payments are accurate.Verify documents and coordinate health care coverage for patients, including eligibility of benefits.Analyze medical records to identify pre-existing conditions or...

-Reviews all claims documents and relates it to the insurance policy for compliance -Tasked to inspect the damages sustained by the vehicles being claimed, canvass the necessary parts and make recommendations on the most accurate amount of repair that can be approved for the claims filed. -Tasked to scan and evaluate bodily injury claims filed under the...

-Reviews all claims documents and relates it to the insurance policy for compliance -Tasked to inspect the damages sustained by the vehicles being claimed, canvass the necessary parts and make recommendations on the most accurate amount of repair that can be approved for the claims filed. -Tasked to scan and evaluate bodily injury claims filed under the...

Reviews all claims documents and relates it to the insurance policy for complianceTasked to inspect the damages sustained by the vehicles being claimed, canvass the necessary parts and make recommendations on the most accurate amount of repair that can be approved for the claims filed.Tasked to scan and evaluate bodily injury claims filed under the motorcar...

Medical Claims Specialist | Davao | 20K Sign-on Bonus (1633) Medical Administration (Healthcare & Medical) Connext Global Solutions is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and...

FOR OFFICE STAFF POSITIONS: WE NEED - Claims Processor - Reimbursement Staff - Filing Clerk - Membership Officer MINIMUM QUALIFICATION: College graduate of any 4 yrs WORK LOCATION: Makati City

FOR OFFICE STAFF POSITIONS: WE NEED - Claims Processor - Reimbursement Staff - Filing Clerk - Membership Officer MINIMUM QUALIFICATION: College graduate of any 4 yrs WORK LOCATION: Makati City

FOR OFFICE STAFF POSITIONS: WE NEED - Claims Processor - Reimbursement Staff - Filing Clerk - Membership Officer MINIMUM QUALIFICATION: College graduate of any 4 yrs WORK LOCATION: Makati City

FOR OFFICE STAFF POSITIONS: WE NEED - Claims Processor - Reimbursement Staff - Filing Clerk - Membership Officer MINIMUM QUALIFICATION: College graduate of any 4 yrs WORK LOCATION: Makati City

FOR OFFICE STAFF POSITIONS:WE NEED Claims Processor Reimbursement Staff Filing Clerk Membership OfficerMINIMUM QUALIFICATION:College graduate of any 4 yrsWORK LOCATION:Makati City

Performs administrative functions such as facilitate the releasing of loan check and ensuring compliance of the borrower to loan documents or requirements.Key Responsibilities: Informs the client regarding loan charges such as monthly amortization, deductions, penalties, net proceeds and documentation requirements prior to release of loan. Ensures that...

Performs administrative functions such as facilitate the releasing of loan check and ensuring compliance of the borrower to loan documents or requirements.Key Responsibilities:* Informs the client regarding loan charges such as monthly amortization, deductions, penalties, net proceeds and documentation requirements prior to release of loan.* Ensures that...

Performs administrative functions such as facilitate the releasing of loan check and ensuring compliance of the borrower to loan documents or requirements. Key Responsibilities: - Informs the client regarding loan charges such as monthly amortization, deductions, penalties, net proceeds and documentation requirements prior to release of loan. - Ensures...

Performs administrative functions such as facilitate the releasing of loan check and ensuring compliance of the borrower to loan documents or requirements. Key Responsibilities: - Informs the client regarding loan charges such as monthly amortization, deductions, penalties, net proceeds and documentation requirements prior to release of loan. - Ensures...

The Authorization Specialist is responsible for managing the authorizations and referrals for medical services. This role involves reviewing the medical history of potential patients, verifying information from referring physicians, ensuring insurance coverage, and monitoring the schedule for add-on patients. The Authorization Specialist ensures all...