Insurance Eligibility

3 weeks ago


Muntinlupa, Philippines WHR Global Consulting Full time

Join to apply for the Insurance Eligibility role at WHR Global Consulting .

Job Requirements
  • Graduate of BS in Accountancy or any related business course.
  • At least 1 year of work experience in relevant or related role/capacity. Having relevant training is an advantage.
Duties & Responsibilities
  • Handles and analyzes Eligibility Management processing of cases in accordance with the client’s processes and specifications to meet the set targets and deliverables.
  • Ensures accuracy of encoded data such as but not limited to benefit enrollments (system & benefit carrier), benefit terminations (system & benefit carrier), and processing changes on customer’s benefit elections (system & benefit carrier) to maintain data integrity and quality.
  • Adheres to the channel’s standard operating procedures and work instructions to ensure work alignment across the channel.
  • Attends project orientation, job-related training, and/or other company-initiated training, when necessary, to continuously develop knowledge and skills.
  • Performs other requested tasks related to benefit processing to support the day-to-day operations of the business.
  • Ensures compliance to company rules and regulations, which shall include but not limited to the Employee Code of Discipline, the policies on Quality Management System (QMS), Information Security Management System (ISMS), Environment Health & Safety (EHS), Environmental Management System (EMS); Data Privacy Act (DPA); and other duties and responsibilities prescribed for all employees.
  • Ensures compliance of all Non-Conformity Corrective Action Preventive Action Concessions (NCAPACs) and all other audit findings within the prescribed period.
  • Reports security incidents and/or any identified security weaknesses.
  • Performs other tasks that may be assigned from time to time.
Seniority level
  • Entry level
Employment type
  • Full-time
Job function
  • Other
Industries
  • Human Resources Services
#J-18808-Ljbffr
  • Eligibility Processor

    4 weeks ago


    Alabang, Muntinlupa, Philippines WHR Global Consulting Full time

    POSITION TITLE: Eligibility Management Processor (Insurance Benefits Processor) WORK LOCATION: Alabang WORK SETUP: Onsite WORK SCHEDULE: Night Shift QUALIFICATIONS -Graduate of any course -Open to fresh graduates with good communication skills -Preferably with benefits administration/insurance experience or at least experience in customer service and...

  • Eligibility Processor

    3 weeks ago


    Muntinlupa, Philippines WHR Global Consulting Full time

    POSITION TITLE: Eligibility Management Processor (Insurance Benefits Processor)WORK LOCATION: AlabangWORK SETUP: OnsiteWORK SCHEDULE: Night ShiftQualifications Graduate of any course Open to fresh graduates with good communication skills Preferably with benefits administration/insurance experience or at least experience in customer service and data entry in...


  • Muntinlupa, Philippines WHR Global Consulting Full time

    Job Description Position: Eligibility Management Processor Shift: Night Under the direct supervision of the Supervisor, the Eligibility Management Processor is responsible for accomplishing data entry tasks in accordance with the client’s quality requirements and specifications. Responsibilities Handles and analyzes Eligibility Management processing...

  • Healthcare Specialist

    3 weeks ago


    Muntinlupa, Philippines Inkorp Human Resource Services Full time

    Hybrid - Muntinlupa 1-3 Yrs Exp Diploma Full-time Job Description Employee Recognition and Rewards Performance Bonus, Annual Appraisal, Quarterly Gifts Government Mandated Benefits 13th Month Pay, Paid Holidays Insurance Health & Wellness HMO Responsibilities Greeting patients with a smile virtually (on camera) Reviewing patient Electronic Medical Records to...


  • Muntinlupa, Philippines BruntWork Full time

    Join to apply for the Medical Billing Specialists role at BruntWork . Direct message the job poster from BruntWork. Overview Scope: Backend billing operations focus on some patient interaction with potential expansion into front office tasks and eligibility verification. Direct training and management by an experienced billing supervisor. Work within US...


  • Muntinlupa, Philippines MedCore Solutions Full time

    Prior Authorization Specialist (Multi-Specialty) | Permanent WFH We are looking for an experienced Prior Authorization Specialist with a strong background in Pulmonology, Gastroenterology, and Internal Medicine. The ideal candidate will be responsible for obtaining timely prior authorizations, verifying insurance coverage, and ensuring accurate documentation...

  • SME

    2 weeks ago


    Muntinlupa, Philippines TASQ Staffing Solutions Full time

    Responsibilities: Understand customer issues and provide solution. Executes transactions as per prescribed timelines and follows all predefined procedures with the objective to meet the SLA targets for the specific process within guidelines, policies and norms of client and the company.Meet SLA and KPIsHandle escalation callsKnowledge and experience on...

  • Remote Paralegal

    1 week ago


    Muntinlupa, Philippines Modern Family Law Full time

    Modern Family Law, a rapidly expanding national law firm specializing in Family Law, is seeking a Remote Family Law Paralegal to join ourSan Jose, CA office (remote but must reside inNorthern California to attend hearings and meet with clients). Modern Family Law is seeking a paralegal to handle diverse family law cases. This position plays a critical role...

  • PT LPN Nurse Nights

    3 weeks ago


    Muntinlupa, Philippines RemoteWorker US Full time

    Looking for extra income? Part-time and PRN positions offer scheduling flexibility to ensure a healthy work-life balance for our employees. An online scheduling exchange allows you to pick up PRN needs in addition to regular part-time work. Teamwork is a fundamental part of all great nursing programs. Come be a part of our team at: Location: Beaver County...


  • Muntinlupa, Philippines Optum, a UnitedHealth Group Company Full time

    ROLE AND RESPONSIBILITIES: You will respond to customer service inquiries and issues by identifying the topic and type of assistance the customer needs. This may include, among others, inquiries or concerns on their benefits, eligibility and claims. You will guide and educate the customer about the fundamentals and benefits of consumer-driven health care...