Health Claims Officer

Job Qualifications:Graduate of any 4-year medical course related.Minimum of 5 years in an HMO or health insurance company; and at least 3 years in a Liaison Officer role.Working experience/knowledge of health general practice.Pleasing personality and currently residing in any of the following areas: Metro Manila, Metro Cebu & Davao. Willing to travel between...

Company OverviewInLife Health Care is a dynamic organization dedicated to providing exceptional healthcare services. Our team is committed to delivering high-quality medical claims processing, ensuring timely and accurate payments to our customers.

Key ResponsibilitiesAnalyze and process In-Patient, Out-Patient Hospital Bills, and Professional Fees claims in accordance with agreed SLAs (Service Level of Agreements)Ensure accuracy and completeness of claims data, adhering to regulatory requirements and company standardsCommunicate effectively with customers, stakeholders, and internal teams to resolve...

About the RoleWe are seeking a skilled Medical Claims Processor to join our team in Makati City. As a key member of our operations, you will be responsible for analyzing, adjudicating, auditing, and processing medical claims according to set medical guidelines and policies.

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 and policies within the agreed SLAs (Service Level of Agreements).Minimum Requirements:Graduate of Bachelor of Science in Nursing or any related medical course.Above average...

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...

This function is responsible for Collections for Healthcare unpaid claims. The position in this function interacts with customers gathering support data to ensure invoice accuracy and also works through specific claims discrepancies. Provide input to policies, systems, methods, and procedures for the effective management and control of the premium collection...

About the Role:The Insurance Claims Coordinator plays a vital part in our team, responsible for overseeing and managing insurance claims from initiation to resolution. This role demands attention to detail, effective communication skills, and a deep understanding of insurance claims processes.We are seeking a Claims Processor with a Bachelor's degree in a...

Job DescriptionInvestigate and process claims related to lost, damaged, or delayed goods in transit.Gather evidence, such as pre-shipment videos and photos, to support claims.Work closely with WHOps and CCTV team to ensure that the set guidelines are being followed.Collaborate with the Logistics, Payments and Finance team to ensure all RTS Parcels for claims...

Primary Responsibilities:Contract reading of payment dispute.Working on the Provider side.Checking with the insurance to verify claim status and collect unpaid claims.Process claims payment, Denial Management, Claim statusing.JOB QUALIFICATIONSCompleted at least 2 years in college.With minimum 12 months experience of Healthcare Account Receivable/Collections...

Primary Responsibilities:Contract reading of payment dispute.Working on the Provider side.Checking with the insurance to verify claim status and collect unpaid claims.Process claims payment, Denial Management, Claim statusing.JOB QUALIFICATIONSCompleted at least 2 years in college.With minimum 12 months experience of Healthcare Account Receivable/Collections...

This function is responsible for Collections for Healthcare unpaid claims. This position interacts with customers gathering support data to ensure invoice accuracy and also works through specific claims discrepancies. Provide input to policies, systems, methods, and procedures for the effective management and control of the premium collection function....

RESPONSIBILITIES:- Evaluates claims receive by checking the completeness of documents, necessity and reasonableness of expenses. - Encoding and simplification of diagnosis-data entry. - Conducts routine reconciliation of Outstanding Accounts with Providers to be reported to Provider Relation Department. - Ensures that all medical claims documents are...

In this role, you will have the opportunity to work with a talented team of professionals who share your passion for animal health and welfare. As a Veterinary Claims Advisor, you will play a critical role in ensuring that our customers receive the best possible claims experience.You will be responsible for handling claims in an efficient, honest, and fair...

The Claims Insurance Coordinator will be responsible for overseeing and managing insurance claims from initiation through resolution. This role requires attention to detail, effective communication skills, and a deep understanding of insurance claims processes.Graduate of Bachelor's degree in a related field2+ years of experience in claims coordination,...

PetSure Services Incorporated (PSI) is a leading provider of pet health insurance products, serving the needs of pet owners across the globe. Our mission is to deliver exceptional customer experiences, while also promoting animal health and welfare.We are seeking a skilled and dedicated individual to join our team as a Veterinary Claims Advisor. In this...

**Environmental Health Officer Job Summary:**We are seeking an experienced Environmental Health Officer to join our team. As an Environmental Health Officer, you will be responsible for ensuring that our clients' facilities and operations meet the highest standards of environmental quality.You will conduct regular site visits to assess environmental risks...

Job DescriptionThis position is responsible for identifying, capturing, tracking, reviewing, and resolving held claim edits, claim rejections, and/or denials that result from the claims/billing cycle.Main Responsibilities:Identify and track revenue cycle held claim edits, rejections, and/or denials including verifying legal health record documentation to...

Duties and ResponsibilitiesChecks and processes claims for in-house adjustment/assessment.Attends and conducts inspections of properties with claims requiring in-house adjustment.Verifies claims' Policy Coverage/s.Canvasses/negotiates with dealers and suppliers on prices of part/s for replacement.Negotiates with claimants on the for and amount of claims...

About the Role:This position involves managing claims, insurance operations, and finance-related tasks while providing support in customer service, general affairs, and procurement. The ideal candidate will possess strong attention to detail, coordination skills, and effective communication abilities.Main Responsibilities:Claims Handling:Process product...