Healthcare Claims Specialist

2 days ago


Makati City, National Capital Region, Philippines beBeeHealthcare Full time ₱2,663,000 - ₱4,477,000

Transforming Healthcare through Data-Driven Insights

At the forefront of healthcare innovation, our mission is to enhance health outcomes for millions worldwide.

Key Responsibilities:

  • Deliver exceptional claims expertise by meticulously examining, researching, investigating, negotiating, and resolving diverse claims types, including recoveries and resolutions for health plans, commercial customers, and government entities.
  • Analyze trends and compile reports as needed.
  • Ensure strict adherence to state and federal compliance policies, reimbursement policies, and contract compliance.
  • Effectively manage subrogation files.
  • Maintain compliance with employment contracts, company policies, procedures, and directives.

This role demands focus, intensity, and resilience in a fast-paced environment, requiring the ability to navigate complex situations and identify areas for improvement.

Required Skills and Qualifications:

  • College graduate from a 4-year program.
  • 1+ years of experience in claims or collections.
  • 1+ year of experience analyzing and solving customer problems.

Benefits:

Our organization is committed to creating a healthy atmosphere that values diversity and promotes equal opportunities for all. We are an Equal Employment Opportunity employer and welcome applications from qualified individuals without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity, or expression.

We strive to be an environmentally responsible organization and deliver equitable care that addresses health disparities and improves health outcomes.



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