Healthcare Operations Coordinator
3 days ago
We are looking for a highly skilled Healthcare Operations Coordinator to join our team at Manpower Core Group Inc. As a Healthcare Operations Coordinator, you will be responsible for managing the day-to-day operations of our healthcare services, including determining customer eligibility, assessing medical appropriateness of claims, and ensuring accurate and timely payment of covered claims.
Key Responsibilities
• Provide support to the clinical team and client team
• Determine customer eligibility by reviewing contractual language and medical documentation
• Assess medical appropriateness of claims submitted, and adjust claims as needed
• Pay all covered claims accurately and timely
• Manage both new claims and open claims equally and maintain decision turnaround times
Requirements
• Active license
• At least 6 months Hospital experience
• 1 year prior authorization experience – negotiable: Healthcare experience
• Handling payer side/ provider side/ handling scheduling or any inbound process
• Good typing skills
• Scope of work inbound or outbound calls or pre-reg- patients that are scheduled outpatient imaging, update insurance, provide prep/ patient instructions
What We Offer
We offer a competitive salary range of PHP 40,000-50,000 per month, commensurate with experience, and a comprehensive benefits package, including health insurance, retirement savings plan, and paid time off.
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