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Claims Processing Specialist
7 days ago
Job Overview:
InLife Health Care seeks a skilled Claims Processing Specialist to handle reconciliation requests from accredited providers.
About the Position:
The successful candidate will be responsible for reviewing and processing claims, coordinating with providers, and ensuring timely updates on claim status.
Main Duties:
- Claims Review and Coordination
- Compare provider sent lists with iCare records
- Contact providers for missing information within 3 days of receiving claims
- Collaborate with Claims and Accounting teams for payment processing and posting
- Regularly update the PPM tracker with progress
- Support PPM-AM in obtaining Certificate of Good Credit Standing
- Reporting and Communication
- Keep the performance tracker up-to-date
- Share threat/suspension list information with the PPM Head via the tracker
- Complete additional tasks assigned by the supervisor
Essential Qualifications:
- A bachelor's degree in accounting or a related field.
- Experience in claims reconciliation, preferably in the healthcare sector.
- Strong analytical and problem-solving skills.
- Proficient in computer software and applications.
- Excellent customer service and interpersonal skills.