Medical Claims Processor

Job Objective / PurposeThe Claim Processor is responsible for timely processing of medical claims based on the member's health benefit program. They analyze medical information, perform data entry, handle reimbursement claims, and decide whether a claim should be covered or denied. Communicate issues or exceptions to other concerned departments as...

Job Title: Claims Processor Trainer | NON-VOICEIn-Office Training Now, Potential for Remote Work LaterPosition Summary:We are seeking a knowledgeable and experienced Trainer for the Claims Adjudication Process to join our growing team. The ideal candidate is responsible for designing, facilitating, and evaluating training programs focused on claims...

Position: Medical Claims AssociateLocation: Cocolife Building, Ayala Avenue, Makati CityWork Setup: Onsite Monday - Friday 8am- 5pmJob Summary:We are looking for a detail-oriented and reliable individual to join our team as a CLAIMS ASSOCIATE. The successful candidate will be responsible for the evaluation and prompt processing of medical claims....

Job descriptionThe position is responsible for processing insurance claims accurately and quickly through industry approved claims processing. The job may also entail various claims investigation elements and may involve field work from time to time.Specific requirements are as follows.Data entry - receives claims documents from clients and books the same to...

Qualifications:A graduate of Doctor of Medicine.Had specialty trainings preferably in Surgery, Ob-Gyne, and Pediatrics.Knowledge of complex disease conditions, treatments, tests, and medications.With high attention to details and strong analytical skills.Excellent oral and written communication skills.Ability to multitask while working under minimal...

A) Position Objective:The position is responsible for ensuring efficiency, accuracy of claims processing and settlements as part of servicing to our agents and clients insurance claims of all lines in accordance with company policies and guidelines within the accepted loss evaluation in a timely manner.B) Roles and Responsibilities:Receive and register...

YOUR ROLEReports generation.Processes, reviews, and recommends claims for approval within the assigned scope/area and standard turnaround time.Maintains effective communication, coordination, and good relationship with clients, concerned business units, and other parties involved.A BIT ABOUT YOUGraduate of bachelor's degree course (Business/Finance related...

We are hiring several Medical Billers to join our team in Makati City A Medical Biller is responsible for submitting medical claims to insurance companies and payers.Responsibilities:Input new claims, determine eligibility for claims processing, processing payments through both automated and manual information systems, conduct billing research and respond to...

Communicate with policyholders, detect potential fraud, maintained detailed records, ensure timely and compliant claims resolution.Qualifications:Bachelor's degree in business accountancy, IT, or a related field (preferred) or Medical Allied CourseKnowledgeable in MS-Office especially Excel / Data AnalyticsPrior experience in insurance claims processing or...

STRATEGIC STAFFING SOLUTIONS (S3)Position: Clinical Claims ProcessorWork Set-Up: OnsiteOffice Location:Makati CitySchedule:Night Shift (EST)JOB RESPONSIBILITIESAs aClaims Processor, you will be responsible for accurately processing both manual and electronic claims, meeting production goals, ensuring high-quality standards, adhering to compliance policies,...