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Healthcare Claims Examiner

2 weeks ago


Cebu City, Central Visayas, Philippines Inlife Health Care Full time

Inlife Health Care Overview:

We are a leading healthcare provider dedicated to delivering high-quality patient care and innovative solutions. Our mission is to improve the health and wellbeing of our community through excellence in service and compassion.

About the Role:

This is an exciting opportunity for a motivated and detail-oriented individual to join our claims processing team. As a Clinical Claims Processor, you will play a vital role in ensuring that patients receive accurate and timely payments for their medical services.

Responsibilities:

  • Analyze and process medical claims from healthcare providers.
  • Review and verify claims data for accuracy and completeness.
  • Determine coverage and benefits according to company policies and procedures.
  • Communicate with healthcare providers and patients to resolve claim discrepancies.

Requirements:

  • Bachelor's degree in Nursing or related field is an advantage.
  • Customer-service oriented with excellent communication skills.
  • Experience in medical terminologies and ICD codes.
  • Familiarity with claims processing systems and software.