Senior Clinical Claims Specialist

1 month ago


Taguig, National Capital Region, Philippines TASQ Staffing Solutions Full time

About TASQ Staffing Solutions

TASQ Staffing Solutions is a leading staffing agency that provides top talent to various industries. As a clinical claims specialist, you will be part of our esteemed team.

Salary:$50,000 - $70,000 per year (dependent on experience)

Job Description

We are seeking an experienced Senior Clinical Claims Specialist to join our team at TASQ Staffing Solutions. The ideal candidate will have a strong background in nursing and excellent communication skills.

In this role, you will be responsible for managing accidental claims from start to finish. This includes ensuring all information is up-to-date, following a 10-day letter process when necessary, and maintaining new and pending tasks within the designated timeframe.

Key Responsibilities:

  • Work claims to completion and avoid moving tasks without completing appropriate work.
  • Complete thorough claim notes and upload all relevant documents.
  • Act on direction provided by leaders and technical partners.
  • Aggressively manage past-due claims while completing timely pend reviews.
  • Manage BBDA volume based on total approved claims.

Required Skills and Qualifications

To succeed in this role, you must have:

  • A Bachelor's degree in nursing.
  • 1-2 years of experience in a similar role in the BPO/Shared Services industry.
  • Excellent attention to detail and ability to spot errors.
  • Strong verbal and written communication skills.

Benefits

We offer competitive pay and benefits packages. If you're passionate about delivering exceptional results, we'd love to hear from you



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