Claims Processor

MAJOR RESPONSIBILITIESAssigned special accounts to handle.Receives Claims Documents from Receiving and Encoding Sections for review.Prepares reports and statistics for management's information.Assists in updating status of assigned claims to broker(s), agent(s) and / or Insured.Reports to department officers progress of assigned claims for...

Medical Claims ProcessorWe are seeking an organized and detail-oriented individual to process medical claims in a fast-paced environment.The ideal candidate will have excellent communication skills, be able to work independently, and possess a strong attention to detail.Verify patient insurance information and benefitsCode claims according to each insurer's...

Job Title: Renal Clinic Claims ProcessorJob SummaryWe are seeking a highly detail-oriented and proactive individual to join our team as a Renal Clinic Claims Processor. The successful candidate will be responsible for managing administrative tasks related to PhilHealth claims processing, ensuring accurate and timely submission of claims, and maintaining...

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...

The job is on site. Night Shift. Five days a week. As Data Processor, you will be tasked with the following:· Preparing and submitting claims to insurance companies both standard claims and coinsurance claims.· Monitor and follow up on claim payment statuses to ensure timely reimbursement from insurance companies or payers.· Review and identify...

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...

Job DescriptionPosted on13 August 2025Responsible for the receipt of all claims documents and other pertinent correspondence relative to the claim and responsible for the monitoring of the whereabouts / location of claim folders. He/ She is also tasked to give assistance, information and queries to claimants in filing claims. He/ She is assigned to prepare/...

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...

Job OverviewMedical Billing SpecialistWe are seeking a highly skilled and detail-oriented Medical Billing Specialist to join our team. As a key member of our operations team, you will play a crucial role in ensuring the accurate and timely processing of medical claims.The ideal candidate will have a strong understanding of medical billing regulations,...

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...

Job Title: Healthcare Billing AssociateWe are seeking an experienced Healthcare Claims Processor to join our team. This role involves reviewing unpaid Medicaid claims in the EMR system, editing and updating claims to meet requirements for resubmission, and ensuring claims are accurately modified for successful rebilling.Main Responsibilities:Review unpaid...