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Medical Claims Examiner

7 days ago

Manila, National Capital Region, Philippines MED-METRIX INTERNATIONAL PH-I, INC. Full time
About the Role:

The Insurance Verification Representative is responsible for ensuring the integrity of patient insurance data in client-hosted systems.

This involves utilizing payer web portals to obtain and update patient insurance information, verifying details against patient's insurance cards, and ensuring accurate and complete data input.

Additional responsibilities include filing claims according to established procedures, documenting actions in internal and client-hosted systems, and meeting daily productivity and quality standards.

This role requires collaboration with the management team, effective communication, and adherence to HIPAA standards for protecting patient PHI.

Essential qualifications include at least one year of insurance verification experience, proficiency with practice management software, and knowledge of individual payor websites.

The successful candidate will demonstrate strong organizational, communication, and teamwork skills, with a basic Excel skillset and ability to work independently and collaboratively.