Medical Claims Analyst

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (Member's Reimbursement) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements).Principal Accountability:Ensures accurate and timely processing of claims from medical service providers within authority limits. This...

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....

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...

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements)Graduate of Bachelor of Science in Nursing or any related medical course (FRESH GRADUATES ARE WELCOME TO...

YOUR ROLEVerification of cover in order to determine if indeed there is coverage/policy in-force when the loss occursMakes the necessary recommendation on a claim (such as for final action or to require further documents or information) or makes a final decision on claim, in accordance with the claim's authorityHandles the necessary communication that should...

Roles and ResponsibilitiesVerification of cover in order to determine if indeed there is coverage/policy in-force when the loss occursMakes the necessary recommendation on a claim (such as for final action or to require further documents or information) or makes a final decision on claim, in accordance with the claim's authorityHandles the necessary...

Claims Operations AnalystNight ShiftOnsite in Commonwealth Ave., QCAbout the role:This position will be responsible for managing the Claims email box, meeting service level agreements, setting up the claim in ImageRight and the Claims system. Responsibilities include working directly with brokers and/or insureds for details required to complete the setup of...

Date Posted: August 23, 2019Job Location: Makati CityJob Description:check completeness of required documentsensure that all medical for check payment request has secured proper approval.conducts routine reconciliation of outstanding accounts with providers.ensure that all medical claims documents are properly filed and labeled.perform other duties maybe...

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...

Role Title:Claims Analyst - ReinsuranceECLARO:A quick SummaryECLARO is an award-winning professional services firm headquartered in New York City and operating in the U.S., Canada, UK, Ireland, Australia and the Philippines. We are dedicated to a singular purpose: providing the Right People to meet every client's needs and solve business challenges through...