Claims Staff

JOB BRIEF:The Claims Supervisor will oversee a team of claims adjusters and ensure timely and accurate processing of insurance claims. This role involves supervising daily operations, providing guidance and training, monitoring performance metrics, and ensuring compliance with company policies and regulatory requirements.DUTIES AND RESPONSIBILITIES:Supervise...

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 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...

Project assignment: Metro Manila Subway Project CP-103Job Qualification:Graduate of BS in Civil Engineering preferably Licensed Civil Engineer.With (1) year related work experience in Contract Administration and Management.Proficient in English Language both in oral, reading, and writingAdvantage, but not required; knowledge in global contract documents such...

Job Qualifications:SHS Graduate or Completed at least 2 years of college.Minimum 12 months experience in Healthcare Account Receivable/Collections in a BPO setting.Familiarity with UB Claims and UB04 forms.Experience in medical billing/AR collections.Background in calling insurance (Payer) for claim status and payment disputes.Familiar with EPIC...

Job Qualifications:Completed at least 2 years of college.Minimum 12 months experience in Healthcare Account Receivable/Collections in a BPO setting.Familiarity with UB Claims and UB04 forms.Experience in medical billing/AR collections.Background in calling insurance (Payer) for claim status and payment disputes.Familiar with EPIC SYSTEM.Willing to work...

Hospital Information/HMO Staff manage and coordinate services between patients, the hospital, and accredited Health Maintenance Organizations (HMOs), handling patient inquiries, verifying member IDs and coverage, facilitating admissions and consultations, processing necessary paperwork, and ensuring smooth credit and collection processes. They act as a...

About the role We are looking for an enthusiastic and organised Admin Staff/ Philhealth Clerk to join our team at Kaiser Medical Center, a key healthcare facility located in Makati City, Metro Manila. In this full-time role, you will provide vital administrative support to ensure the smooth running of our medical centre.What we're looking forMust have work...

Job Title: Admin/Utility StaffLocation: Makati, ValeroJob Summary:We are looking for a dependable and hardworking Admin/Utility Staff to help maintain a clean, organized, and efficient office environment. This entry-level role supports day-to-day operations, including cleaning, restocking supplies, handling errands, and assisting with basic maintenance and...

Position Title: ACCOUNTING STAFFPurpose of the position:Accounting Staff performs routine accounting tasks, such as preparing reports, maintaining records, and reconciling accounts.Key responsibilities:Maintain an accurate and update accounting records related to monitoring of Assets, insurance, and claimsVerify and prepare accounting entries to record...