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Claims Validation Specialist

2 weeks ago


Makati City, National Capital Region, Philippines Dempsy Resource Management Inc. Full time

About the Position:

We are looking for a skilled Claims Validation Specialist to join our team at Dempsy Resource Management Inc. As a Healthcare Data Encoder, you will be responsible for evaluating and processing medical claims.

Key Responsibilities:

  1. Evaluate claims received by reviewing the completeness of documents and the necessity and reasonableness of expenses.
  2. Encode and simplify diagnosis data for entry.
  3. Conduct routine reconciliation of Outstanding Accounts with Providers.
  4. Ensure all medical claims documents are properly filed and labeled.

Qualifications:

  • Bachelor's of Science degree in a medical course or related field.
  • Proficient in Microsoft Office and computer applications.
  • Relevant work experience is an asset.