Medical Insurance Coordinator

7 days ago

Hagonoy, Central Luzon, Philippines NESTLE BUSINESS SERVICES AOA INC Full time ₱104,000 - ₱130,878 per year

Medical Insurance Coordinator

POSITION SNAPSHOT

Location: Meycauayan, Bulacan,

Nestlé Business Services AOA, Inc.

Bulacan, Central Luzon

Full time

Bachelor's Degree

2+ year of experience

POSITION SUMMARY

Joining Nestlé means you are joining the largest food and beverage company in the world. At our very core, we are a human environment – passionate people driven by the purpose of enhancing the quality of life and contributing to a healthier future.

Our Team in Nestlé Business Services is in charge of delivering world class business support to our colleagues and clients in Nestlé globally. We are committed to deliver with passion, reliability, innovation, discipline and excellence. Are you ready to join us?

A day in the life of...

  • Prepare and analyze medical billing and support on completing the payments with Insurers on a timely manner
  • Conduct analysis on medical coding specifies in the documents to properly understand and have a thorough analysis to support medical insurance processes
  • Handle claims, follow-up and review to ensure proper documentation is in place. Attend to insurance queries.
  • Involvement on thorough check and consultation with Nestle doctors about the special case of medical claims.
  • Provide report related to utilization, claims trend or other ad hoc reports needed by the market wherein the source data is taken internally or from Insurer
  • Manage and validate census data and endorse any movement as endorsement based on the agreement on the policy
  • Ensure the maintenance of all necessary data, meet all internal and external reporting requirements. (medical data)
  • Addresses escalated Insurance issues and complaints from the Market and works with the GRS Team/Total Rewards in providing analysis and resolution.
  • Conducts regular calls, debriefs and workstream reviews with the markets and other departments, including identification of improvement opportunities and mitigation measures.

What will make you successful

  • Degree in any medical field related courses (Nursing, MedTech, Psychology)
  • At least 2 years of experience in BPO setting and/or Medical/Healthcare Virtual Assistants
  • Knowledge in SAP and MS Applications
  • Demonstrated ability to influence a team
  • Will be able to execute work with minimal supervision
  • Stakeholder Management
  • Able to propose and implement improvements in procedures
  • Willing and able to work flexible shifts

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