Claims Processor

Job Title: Provider Dispute Claims Processor | In-Office Training Required | Potential for Remote Work After TrainingExpected Start Date: September 22Salary: up to Php 35,000Position Summary:We are seeking an experienced Provider Dispute Claims Processor this role is responsible for reviewing, researching, and resolving provider disputes in compliance with...

Job Title: Provider Dispute Claims Processor | In-Office Training Required | Potential for Remote Work After TrainingExpected Start Date: September 22Salary: up to Php 35,000Position Summary:We are seeking an experienced Provider Dispute Claims Processor this role is responsible for reviewing, researching, and resolving provider disputes in compliance with...

Job Title: Claims Processor Trainer | NON-VOICEIn-Office Training Now, Potential for Remote Work LaterPosition Summary:We are seeking a knowledgeable and experienced Trainer for the Claims Adjudication Process to join our growing team. The ideal candidate is responsible for designing, facilitating, and evaluating training programs focused on claims...

YOUR ROLEProcesses, reviews, and recommends claims for approval within the assigned scope/area and standard turnaround timeMaintains effective communication, coordination, and good relationship with clients, concerned business units, and other parties involvedReports generationA BIT ABOUT YOUGraduate of bachelor's degree course (Business/Finance related...

Date Posted: April 4, 2022Job Location: Makati CityJob Description:Job Description:Checks completeness of required documentsProcess all eligible claims with 5-15 working days TAT depending on pre-agreed credit term with the Provider with the 10-15% margin for error/correctionEnsures that all medical claims for check payment request has secured proper...

Date Posted: December 23, 2021Job Location: Makati CityJob Description:Job Description:Checks completeness of required documentsProcess all eligible claims with 5-15 working days TAT depending on pre-agreed credit term with the Provider with the 10-15% margin for error/correctionEnsures that all medical claims for check payment request has secured proper...

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...

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

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...

MAKATI CITY, PH, 9999CLAIMS AND ASSISTANCE250005YEJob DescriptionJob Description:Essentially responsible for carrying out set strategies of Health Claims team relevant to efficient end to end claims processing and provide a delightful customer service.Will supervise and lead the Reimbursement Team in the end-to-end claims processing.Executes strategies and...