Claims Support Specialist

1 day ago


Las Piñas, National Capital Region, Philippines beBeeClaims Full time ₱540,000 - ₱810,000

Job Title: Claims Support Specialist

 

This role involves answering phone inquiries pertaining to workers compensation claims from multi-state medical providers. The successful candidate will have a solid understanding of company computer systems, including StrataWare and CompIQ.

 

Key Responsibilities:

  • Provide prompt, courteous and accurate customer service for all calls, with a working knowledge of worker's compensation guidelines.

  • Perform administrative tasks such as managing faxes, resubmitting bills, updating spreadsheets, phone message retrieval, and e-mails within 24 hours.

  • Process medical bills, coding, or data entry with 98% accuracy during phone downtime or as assigned.

 

Required Skills and Qualifications:

  • Bachelor's degree in a healthcare or business-related field, or equivalent experience.

  • Minimum of one (1) year Customer Service experience (voice)

  • Ability to learn ICD-9/ICD-10 and CPT/HCOC coding

  • Ability to use Microsoft Windows-based software

  • Excellent oral and written English skills

  • Ability to assess and document reconsideration issues based on caller's issue

  • Ability to work in a team environment

 

Benefits:

The successful candidate will enjoy excellent benefits, including a competitive salary, comprehensive health insurance, and the opportunity to work with a dynamic team.

 

Others:

We are an equal opportunities employer and welcome applications from candidates of all backgrounds.



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