Medical Billing Specialist

4 weeks ago


Makati, Philippines Lift Off Consulting Inc Full time

CLAIMS PROCESSING

  • Ensures accurate review of claims documents like LOA, hospital bills/SOA, concurrent review form, physician’s report, original OR for use in processing claims.
CLAIMS REVIEW/ EVALUATION/ ADJUDICATION
  • Reviews/evaluates claims and adjudicates claims to ensure claims are according to benefits plan, coverage and policies and standards
CLAIMS APPROVAL
  • Approves claims according to limits of authority.
CUSTOMER SERVICE
  • Ensures provision of quality customer service
  • Maintains good relationships with providers by making regular visits and ensuring timely payment of medical bills, in coordination with other departments.
  • Handles inquiries of clients, members and agents regarding application for claims, including handling complaints.
ADMINISTRATIVE RESPONSIBILITIES
  • Undertakes Administrative Responsibilities to ensures proper filing of claims documentation and booking them
QUALIFICATIONS
  • 4 year graduate of any course
  • With experience as Claims Processor (Preferably Supervisory level)
  • Willing to work in Makati
  • Can start ASAP
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