Clinical Claims Processor

HDSI: Claim Reconciliation Processor (Health Claims)Join to apply for the HDSI: Claim Reconciliation Processor (Health Claims) role at ACTIVEONE HEALTH, INC.Job Objective / PurposeThe Claim Reconciliation Processor is responsible for processing the account reconciliation requests from the accredited Flexicare network. S/He plays an important role in ensuring...

Job Summary:We are seeking an experienced and detail-oriented Healthcare Claims Processor to join our team at ISTA Solutions. In this role, you will be responsible for managing dental claims from submission to resolution, ensuring timely and accurate approvals.Key Responsibilities:Manage dental claims from submission to resolution, ensuring timely and...

ECLARO Quezon City, National Capital Region, PhilippinesClaims AnalystECLARO Quezon City, National Capital Region, Philippines3 days ago Be among the first 25 applicantsRole Title: Claims AnalystECLARO: A quick SummaryECLARO is an award-winning professional services firm headquartered in New York City and operating in the U.S., Canada, UK, Ireland, Australia...

Job Objective / Purpose The Claim Reconciliation Processor is responsible for processing the account reconciliation requests from the accredited Flexicare network. S/He plays an important role in ensuring that all reconciliations assigned are completed accurately and on time. This role will be hired under Flexicare, Health Delivery System, Inc. (HDSI) - a...

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...

Salary Offer: Php 18,000.00Work Schedule: Mon-Fri 8:30am-5:30pm Qualifications: Graduate of Bachelors of Science (preferably medical course) 24-30 years old Computer literate (Knowledgeable in Microsoft Office) Relevant work experience is a plusJob description:Evaluates claims receive by checking the completeness of documents, necessity and reasonableness of...

We are looking for a skilled and organized Nurse to fill the position of Clinical Coordinator. As a Clinical Coordinator, you will be responsible for coordinating the day-to-day activities of healthcare professionals, ensuring that all administrative tasks are completed efficiently and effectively.Key Responsibilities:Coordinate the day-to-day activities of...

Job Summary:We are seeking a highly skilled Senior Claims Specialist to join our team at Eteam Workforce Private Corporation. In this role, you will be responsible for managing claims documents, conducting pre-adjudications, and recording data in our claims masterfile tracker.Key Responsibilities:Receive and process claims documents from various...

Job Overview:The Insurance Triage Coordinator position at Eteam Workforce Private Corporation requires a detail-oriented individual with excellent organizational skills. In this role, you will be responsible for triaging claims documents, conducting pre-adjudications, and ensuring accurate data entry.Main Responsibilities:Triage claims documents upon...

JOB HIRING: Veterinary Claims SpecialistAre you a Licensed Doctor of Veterinary Medicine with a passion for small animal care? Take your career beyond the clinic and join our team as a Veterinary Claims AssessorQualifications:Licensed Doctor of Veterinary MedicineExperience in small animal medicine (dogs & cats)Knowledge of the financial services or...

JOB HIRING: Veterinary Claims SpecialistAre you a Licensed Doctor of Veterinary Medicine with a passion for small animal care? Take your career beyond the clinic and join our team as a Veterinary Claims AssessorQualifications:Licensed Doctor of Veterinary MedicineExperience in small animal medicine (dogs & cats)Knowledge of the financial services or...

Job DescriptionThe Claim Reconciliation Processor is responsible for processing account reconciliation requests from accredited Flexicare networks. This role plays an important part in ensuring that all assigned reconciliations are completed accurately and on time.Duties And ResponsibilitiesReconciles claims records from accredited hospitals and doctors...

Job SummaryThe Claim Reconciliation Processor is a critical role in our operations, responsible for processing account reconciliation requests from accredited Flexicare networks. As a key player in our team, you will ensure that all assigned reconciliations are completed accurately and on time. Your expertise will play an essential part in maintaining the...

Key ResponsibilitiesMonitor Claim Status: Ensure prompt and accurate payment by tracking the status of medical claims.Resolve Rejections/Denials: Research and implement measures to prevent future occurrences.Document Account Activities: Maintain accurate and up-to-date records of account activities.Collections Management: Post adjustments and manage...

As the Health Claims LO you will be assigned to different hospitals across the county and provide a range of support services to our health clients across Metro Manila, Metro Cebu & Davao areas. The role centers on customer/client management to achieve integrated care outcomes for hospitalized clients.Responsibilities:Assessment / adjudication of "real-time"...

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 on a Liaison Officer role. • Working experience/knowledge of health general practice (• With Pleasing personality and currently residing in any of the following areas: Metro Manila, Metro Cebu & Davao....

About the RoleWe are seeking a highly motivated and detail-oriented individual to join our team as a Medical Billing & Claims Processor. This role requires a strong understanding of medical billing regulations, as well as excellent analytical and problem-solving skills.Responsibilities:Analyze and prepare medical claims for submission to insurance...

We are looking for a highly motivated and experienced Claims Liaison Officer - Health Services to join our team. As a Claims Liaison Officer, you will play a critical role in ensuring that our clients receive timely and accurate payment for their health benefits.Main Responsibilities:Engage with hospitalized clients to ensure their needs are attended to and...

On-site - Makati 3-5 Yrs Exp Bachelor ContractJob DescriptionDescriptionJob PurposeAs the Health Claims LO you will be assigned to different hospitals across the country and provide a range of support services to our health clients across Metro Manila, Metro Cebu & Davao areas. The role centers on customer/client management to achieve integrated care...

Working at RML-PHWe value diversity and inclusivity in our workplace, striving to create an environment where everyone can thrive. As a member of our team, you will have opportunities to develop new skills, collaborate with experienced professionals, and contribute to the growth and success of our organization.This role offers a chance to work in a dynamic...