Claims Resolutions Specialist | PHP 5,000 Sign-On Bonus | On-Site

2 days ago


Metro Manila Philippines Connext Global Solutions Inc Full time

Connext 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 Finance. We are currently looking for a Claims Resolutions Specialist who will be working with Connext's Client in the United States of America. What'sinitforyou? Competitivecompensation PerfectAttendanceBonus Lifeinsurance HMOInsurance Greatcompanyculture AnnualMeritIncrease 25%NightDifferential Onsite in Ortigas Signing bonus Php 5,000 Companyprovidedequipment Whatisthejob? The Claims Resolution Specialist is responsible for following up on health insurance claims and resolving denied claims through thorough investigation and problem-solving. This role ensures timely reimbursement by addressing root causes of denials and working with insurance companies to secure payments. Spends 6-8 hours of day making claims calls. Spends hold times basic-statusing claims using provider portals. Conducts claim follow-up/denial resolution every 2 weeks minimum per claim. RequiredQualifications: High school diploma or an equivalent combination of education and related work experience. At least two (2) years of experience in in claims processing or a similar role in the healthcare or insurance industry. Must have a stable employment history. #J-18808-Ljbffr



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