Clinical Claims Processor

3 days ago

Davao de Oro, Davao, Philippines Snapscale Full time

About Us

We're a forward-thinking healthcare organization looking for talented professionals to join our team. As a Clinical Claims Processor, you'll be responsible for ensuring seamless financial operations.

Key Responsibilities:

  1. Process primary and secondary claims efficiently and accurately.
  2. Verify new account data to prevent errors and discrepancies.
  3. Review claims for proper coding and unit billing to avoid delays and denials.
  4. Batch and send electronic claims through the clearinghouse for timely payment.
  5. Check, correct, and re-bill rejected claims to minimize losses.
  6. Print and mail paper claims with supporting documentation as needed.
  7. Return un-billable claims to us with clear instructions for correction and resubmission.

Our Offer:

  • A comprehensive HMO plan for you and your loved ones.
  • Access to government-mandated benefits, including health insurance.
  • A competitive salary and benefits package that reflects your worth.
  • Opportunities for career advancement and skill development.
  • A collaborative work environment that promotes teamwork and innovation.
  • A transportation allowance to support your daily commute.
  • A free lunch program to fuel your productivity and well-being.

Qualifications:

  • A minimum of 2 years' experience in medical billing.
  • Familiarity with medical coding systems and experience with healthcare billing software.
  • Proven track record of working in US hospitals or private doctor practices.
  • AAPC certification is highly preferred.
  • Excellent communication skills in English, both written and verbal.
  • Ability to work onsite and collaborate with the team.
  • A positive attitude and willingness to learn and adapt.

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