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Medical Claims Specialist

1 week ago

Pasig, National Capital Region, Philippines Med-Metrix, LLC Full time
Unlock a Rewarding Career at Med-Metrix, LLC

We are seeking an Insurance Information Coordinator to join our dynamic team. This role involves supporting the Collections and/or Denial Management department by gathering and disseminating information from hospitals and insurance companies.

Responsibilities and Requirements:
  1. Verify member benefits, effective dates, claims, and appeal information with insurance companies.
  2. Research claims and insurance information through hospital/state databases.
  3. Organize time frames for claim appeals and use Microsoft Outlook to set reminders.
  4. Provide daily/weekly updates to management on progress.
Qualifications:
  • High School diploma or equivalent required.
  • Proficiency in Microsoft Office applications (Word, Excel, and Outlook) is essential.
  • Strong analytical and problem-solving skills.
  • Excellent communication and interpersonal skills.