Clinical Claims Specialist

7 days ago


Ayala Alabang, National Capital Region, Philippines Solid Lyndelle Manpower Services Inc. Full time
Job Overview
Solid Lyndelle Manpower Services Inc. is seeking a skilled Clinical Claims Specialist to join our team in Alabang. This role involves providing support to the clinical and client teams, ensuring timely and accurate payment of covered claims.

Key Responsibilities:
• Review contractual language and medical documentation to determine customer eligibility
• Assess medical appropriateness of submitted claims and adjust as needed
• Manage both new and open claims efficiently, maintaining decision turnaround times

Required Skills and Qualifications:
• Active PHRN License holder
• 6 months bedside experience required
• Proficiency in Microsoft Office
• Good English communication skills
• Willingness to work on a shifting schedule

Benefits:
The successful candidate will enjoy a competitive salary and benefits package, including opportunities for professional growth and development. If you are a motivated and detail-oriented individual with excellent communication skills, we encourage you to apply for this exciting opportunity.

Salary: PHP 25,000 per month

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