Claims Representative

2 weeks ago


Pasig, National Capital Region, Philippines Connext Full time $25,000 - $40,000 per year

Connext Global Solutions
is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.

We are currently looking for an
Claims Resolutions Specialis
t
who will be working with Connext's Client in the United States of America

***.

What's in it for yo***

  • u?Competitive compensati
  • onPerfect Attendance Bon
  • usLife insuran
  • ceHMO Insuran
  • ceGreat company cultu
  • reAnnual Merit Increa
  • se25% Night Differenti
  • alCompany provided equipmen
  • t Work Onsite in Ortig

***as

What is the j***

ob?T
he Claims Resolutions Special
ist is responsible for following up on health insurance claims and resolving denied claims through thorough investigation and problem-solving. This role ensures timely reimbursement by addressing root causes of denials and working with insurance companies to secure paymen

  • ts.

Spends 6-8 hours of day making claims ca
- lls.Spends hold times basic-statusing claims using provider port
- als.Conducts claim follow-up/denial resolution every 2 weeks minimum per cl

***aim.

Required Qualificat***

  • ions:High school diploma or an equivalent combination of education and related work experi
  • ence.At least two (2) years of experience in in claims processing or a similar role in the healthcare or insurance indu
  • stry.Must have a stable employment his

tory.



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