Medical Claims Analyst

Equicom Services, Inc. is now looking for Medical Claims Analyst who can work onsite.Makati Office: 3F Equicom Center 3308 Zapote St., Brgy. Sta. Cruz, Makati City.QualificationsGraduate of any 4 year medical related courses / Undergrad atleast 3rd year levelOpen for fresh graduatesExcellent oral and written communication skillsAbility to multi-task while...

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing, and processing claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines, and policies within the agreed SLAs (Service Level of Agreements)JOB QUALIFICATIONS:Graduate of Bachelor of Science in Nursing or any related medical course - FRESH GRADUATES...

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (Member's Reimbursement) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements).Principal Accountability:Ensures accurate and timely processing of claims from medical service providers within authority limits. This...

Responsibilities Review and process medical claims submitted by members or healthcare providers. Check documents for completeness, including medical abstracts, itemized statements, and official receipts. Verify member eligibility, benefits coverage, and policy limits. Apply appropriate coding and benefits computation based on the member’s plan and HMO...

YOUR ROLEVerification of cover in order to determine if indeed there is coverage/policy in-force when the loss occursMakes the necessary recommendation on a claim (such as for final action or to require further documents or information) or makes a final decision on claim, in accordance with the claim's authorityHandles the necessary communication that should...

Date Posted: August 23, 2019Job Location: Makati CityJob Description:check completeness of required documentsensure that all medical for check payment request has secured proper approval.conducts routine reconciliation of outstanding accounts with providers.ensure that all medical claims documents are properly filed and labeled.perform other duties maybe...

We are hiring several Medical Billers to join our team in Makati City A Medical Biller is responsible for submitting medical claims to insurance companies and payers.Responsibilities:Input new claims, determine eligibility for claims processing, processing payments through both automated and manual information systems, conduct billing research and respond to...

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Job Responsibilities Directly responsible for the adjudication and approval of death, critical illness, TPD, hospitalization benefit claims within his/her approval limit and agreed turnaround time. Ensure that life claims benefits are paid in accordance with Philippine life insurance laws and statutes. Assist in resolving complex claims cases and formulate...

Overview Medical Technologist role at Makati Medical Center Responsibilities Specimen collection (blood, nasal or oropharyngeal swab, etc.) on adult and pediatric patients. Carry out diagnostic tests in the context of established policies and procedures. Operate and manage Laboratory Information System resources as appropriate. Perform other duties as...