Medical Claims Officer

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...

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 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...

Medical Claims SpecialistWe are seeking an experienced Medical Claims Specialist to collaborate with our team. This role involves verifying patient eligibility, reviewing patient bills, and communicating with insurance companies.Responsibilities:Verify patient eligibility and benefits for treatments, hospitalizations, and procedures.Review patient bills for...

Medical Billing Specialist RoleAbout the JobWe are seeking a skilled Medical Billing Specialist to join our team. As a key member of our organization, you will be responsible for preparing and submitting medical claims to insurance companies.Your primary focus will be on ensuring that all necessary information is accurate and up-to-date, collecting and...

Job OpportunityWe are seeking an experienced professional to fill a Medical Billing Specialist position within our expanding team.About the RoleVerify patient eligibility and benefits for various treatments, hospitalizations, and procedures.Review and verify patient bills for accuracy and completeness, and obtain any necessary information.Follow up on unpaid...

About the job Claims Officer Job Description The Progress Claims Officer is responsible for accurate and timely processing, tracking, and management of building progress claims. This role involves liaising with builders, clients, and lenders to ensure all documentation is handled efficiently, stored correctly, and all parties are informed throughout...

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 Specialist RoleThe Claims Associate plays a vital role in ensuring seamless claim processing and streamlining the claims management process.This position requires strong organizational skills, attention to detail, effective communication, and proficiency in handling multiple tasks simultaneously.The ideal candidate will possess excellent time...

Medical Billing SpecialistWe are seeking a Medical Billing Specialist to support accurate and timely claims submission, payment posting, and account reconciliation.This role ensures compliance with payer guidelines and directly contributes to the healthcare provider's revenue cycle.As part of our team, you will work with cross-functional teams to deliver...