
Insurance Claims Examiner
24 hours ago
We are seeking a highly organized Insurance Verification Specialist to support our insurance and authorization operations.
- Verify patient insurance coverage, ensuring accuracy and eligibility for proposed healthcare services.
- Prepare and submit comprehensive authorization requests to insurance companies with all required documentation.
- Collaborate with healthcare providers to gather relevant clinical information and facilitate the prior authorization process.
- Monitor the status of authorization requests, follow up with insurance companies, and maintain detailed records of communications.
- Investigate and address insurance denials, resubmitting requests and appealing denials when necessary.
- Communicate with patients to explain the prior authorization process, potential delays, and any financial responsibilities.
- Ensure compliance with healthcare regulations, privacy laws, and insurance company policies.
- Other insurance-related tasks assigned.
- 1 to 3 years of experience in insurance verification and pre-authorization required.
- Must be able to work from a standard schedule.
- Must be able to handle sensitive information with confidentiality.
- Must be able to work in a fast-paced environment.
- Excellent verbal and written communication skills.
- Strong analytical and problem-solving skills.
- Strong attention to detail, multi-tasking, communication, and organizational skills are essential.
- Demonstrated ability to accurately perform data entry and pay close attention to detail.
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Long Term Care Insurance Claims Examiner
23 hours ago
Pasig, National Capital Region, Philippines beBeeInsurance Full time ₱4,320,000 - ₱7,120,000As a skilled Insurance Claims Examiner, you will play a pivotal role in ensuring the timely and accurate processing of insurance claims for our long-term care facilities nationwide.Key Responsibilities:
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Insurance and Claims Coordinator
3 weeks ago
Pasig, National Capital Region, Philippines Fibernet Kosntrukt Corp Full timeRole and Responsibilities1. Responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of insurance claims2. Liaises with concerned parties to gather all pertinent documents for processing of claims3. Reviews the status and eligibility of claims and makes recommendations for resolutions as needed.4....
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Customer Claims Examiner
24 hours ago
Pasig, National Capital Region, Philippines beBeeClaims Full time ₱720,000 - ₱780,000Job DescriptionKey Responsibilities:Review and evaluate customer claims submitted through various channels.Investigate claims to determine validity and eligibility based on business guidelines and procedures.Gather and analyze relevant documentation to support claim decisions.Determine suitable settlement amounts for valid claims.Maintain accurate records of...
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Insurance Claims Specialist
2 days ago
Pasig, National Capital Region, Philippines beBeeClaims Full time ₱2,500,000 - ₱5,000,000Job Title: Insurance Claims SpecialistAre you a detail-oriented professional with experience in insurance, healthcare or business process outsourcing (BPO)? Do you possess strong analytical skills and excellent communication abilities? We are seeking certified professionals who can deliver high-quality results and provide exceptional customer service.Key...
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Claims Ispector
1 week ago
Pasig, National Capital Region, Philippines Cocogen Insurance, Inc. Full time ₱159,000 per yearJob description:Join our roster of exceptional peoplePerks & Benefits:Guaranteed 15 months' payHMOMedical reimbursementsInternal & external trainingsYear-round fun & exciting Company EventsEmployee appreciationWork-life balanceJob DescriptionProcesses, evaluates and prepares settlement checks by performing the following:Ensures that no red flag indicators...
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Auto Glass Claims Examiner
23 hours ago
Pasig, National Capital Region, Philippines beBeeWarranty Full time $60,000 - $75,000We are seeking an experienced Warranty Claims Specialist to join our team. This position is dedicated to managing and adjudicating vehicle warranty claims.Key Responsibilities:Handle all incoming warranty claims related to auto glass, including water leaks, air leaks, molding issues, and possible cracks (excluding new damage).Communicate directly with...
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Claims Analyst
5 days ago
Pasig, National Capital Region, Philippines Fortune General Insurance Corporation Full time ₱70,000 - ₱120,000 per yearThe Claims Analyst is responsible for processing motor claims. The qualified applicant will review documents received from the claimant or intermediary to ensure their accuracy, evaluate each assigned claim, and conduct investigations when necessary.Qualifications:Graduate of any 4-year courseWith at least 1 year of experience in claims processingHas an...
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Claims Specialist
24 hours ago
Pasig, National Capital Region, Philippines beBeeDental Full time ₱600,000 - ₱800,000Job OverviewWe are seeking a detail-oriented and organized professional to manage and process dental claims, resolve issues, and provide exceptional support to clients.Claim Management: Follow up on outstanding insurance claims, ensure all follow-ups are properly documented and communicated by adding a notation to the patient's account.Claims Processing:...
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Medical Claims Analyst
23 hours ago
Pasig, National Capital Region, Philippines beBeeClaims Full time ₱600,000 - ₱900,000Job SummaryWe are seeking a detail-oriented Medical Claims Analyst to join our team. In this role, you will maximize insurance reimbursement for healthcare practice owners by identifying root causes of claim denials, underpayments, or delays.About the Role:Discover and resolve issues related to medical insurance claim denials, underpayments, or...
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Insurance Coordinator
1 week ago
Pasig, National Capital Region, Philippines Fibernet Konstrukt Corp. Full time ₱500,000 - ₱1,000,000 per yearRole and Responsibilities Provides administrative support in documentation for insurance claims processing Processes and submits insurance as necessary Monitors and tracks on outstanding claims Corresponds with insurance companies on additional documentation needed to process claims Handles queries regarding claim documents ...