Compensation Insurance Claims Specialist

3 days ago


Paranaque City, Calabarzon, Philippines Unity Communications Full time

Company Overview

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  • We are a dynamic and supportive organization that values inclusion and diversity, spreading kindness and positivity.

Salary

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We offer competitive compensation packages to our employees, ensuring they receive fair rewards for their hard work and dedication.

Job Description

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As a Worker Compensation Representative, you will play a crucial role in ensuring work comp insurance carriers accomplish all necessary processing to resolve account balances. Your effective communication skills will be essential in addressing workforce insurance concerns effectively.

You will be responsible for reconciling FACS balance to the client system, ensuring proper crediting in FACS for payments posted, and using websites and other online resources to obtain the status of payment or denial from the insurance carrier.

You will also input in FACS the outcome of the status check and decide the next step on the account based on outlined department and client-specific procedures, review correspondence, note accounts, and follow up as needed.

You will verify that correspondence is sent to be scanned on the accounts for future reference, tie or untie accounts from the route to ensure they follow the proper workflow, and use appropriate work queues and reports to prioritize work efforts, as directed by the Billing and Insurance Follow-up Director.

Required Skills and Qualifications

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  • You must possess computer proficiency, the ability to learn multiple databases, multitasking skills, and be organized, detail-oriented, and flexible.
  • You must have the ability to perform repeated tasks with a high level of accuracy, be compliant with company and client-specific procedures for insurance follow-up, and have a working knowledge of HIPAA and Red Flag regulations.
  • A thorough understanding of RevOne Companies Handbook is also required.
  • Please note that a minimum of 6 months' experience in healthcare BPO is mandatory.

Benefits

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  • You will receive HMO coverage with two free dependents upon regularization, VL/SL credits upon regularization, and friendly and supportive work culture.
  • You will also receive 13th-month pay and other Philippine-government-mandated benefits, non-taxable allowances, and opportunities for pay increases, performance bonuses, birthday gifts, and many more.

Others

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  • This position is full-time, with onsite setup.


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