Claims Processor

POSITION OVERVIEWClaims Processors are involved in managing a claim from beginning through to settlement. They ensure that claims are handled efficiently and that payment for valid claims is made to their policyholders. Claims Processors decide on the extent and validity of a claim by checking for any potential fraudulent activity. They liaise with external...

Short Description:Review and verify the accuracy and completeness of submitted medical claims, including patient information, provider details, services rendered, and billed amounts.Assess the coding accuracy of diagnoses, procedures, and services according to industry-standard code sets such as ICD-10, CPT, and HCPCS.Determine the eligibility of claims...

Company Name: Global Administrators Inc. (We are currently finalizing our new JobStreet company page and profile. You may check us out at: )Looking for a short-term role with great perks? Join us as a project-based Data Processor Perfect for fresh grads, interns, and career shifters Earn up to 25k in incentives during this 4-month contract period. Apply...

TO QUALIFY:Candidate must possess at least an Undergraduate Level (at least 72 units) or a Bachelor's/College Degree in Psychology, Nursing, Medical Technology, Physical Therapy, Medical Sciences, Biology, or related courses.No work experience required.Preferably with at least 1yr experience Healthcare - Nurse/Medical Support & Assistant or equivalent.Good...

Join to apply for the Transport Coordinator role at VG Supply Chain, Inc. Responsibilities: Responsible for the claims analysis, training, process assessment, and coordination with all the verticals related to the status of total claims from a corporate perspective. Manage activities in coordination with the various finance department personnel, Operations...

Major responsibilities Responsible for the claims analysis, training, process assessment, and coordination with all the verticals relative to the status of total claims from a corporate perspective. Manage activities in coordination with the various finance department personnel, Operations Cluster Heads, Operations Managers, OPEX and Billing Processors....

We are offering a hybrid set-up as long as the following requirements are met! Minimum of 25mbps internet speed (actual bandwidth via speed test) Can provide a dedicated space or room with good ventilation for the PC set-up. Has a table that can fit two 24" monitors and a chair. Work from home location is within NCR What's the general objective of the role?...

Medical Biller & Claims ProcessorRML-PH - Quezon City (Remote)Please note: Submitting multiple applications for the same position may delay your review of your candidacy. We encourage you to apply once and ensure all information is complete and accurate.About UsRML-PH is a dynamic and innovative Health Solutions and Care Delivery Organization committed to...

Responsible for ensuring proper processing of information from first line of process to identify and reconcile possible adjustments.Information ReviewProcesses client information by adheres to the standard operating procedures (SOP) and turnaround time set forthReviews and identifies if there are adjustments and variances to reconcileSummarizes information...

Job DescriptionResponsible for ensuring proper processing of information from first line of process to identify and reconcile possible adjustments.ResponsibilitiesInformation ReviewProcesses client information by adheres to the standard operating procedures (SOP) and turnaround time set forth Reviews and identifies if there are adjustments and variances to...