
Medical Billing Specialist
2 days ago
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.
- Reviews/evaluates claims and adjudicates claims to ensure claims are according to benefits plan, coverage and policies and standards
- Approves claims according to limits of authority.
- 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.
- Undertakes Administrative Responsibilities to ensures proper filing of claims documentation and booking them
- 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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