reimbursement claims intern

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...

MediCard Phils., Inc. is one of the country's leading HMOs and the only HMO founded and run by doctors. Since its inception, the concept of service-oriented total health care has been MediCard's guiding principle. Despite the competitive landscape and tempting benefits offered by competitors, MediCard has maintained its lead by providing innovative and...

We are the shared services arm of OMRON, dedicated to delivering exceptional support across our global operations. We are currently seeking a motivated professional to join our shared services team, where you will work with an international team to enhance our operational efficiency.The primary responsibility of this role is to manage the day-to-day...

Medical Biller AR Followup Analyst Job DescriptionClinicMind is seeking a highly skilled Medical Biller AR Followup Analyst to join our team. As a key member of our revenue cycle management team, you will play a critical role in maximizing insurance reimbursement for healthcare practice owners.Responsibilities:Maximize insurance reimbursement for healthcare...

1. Properly adjudicate reimbursement claims on outpatient, inpatient benefits of policyholders on a health policy.2. Accurately determine if a medical condition is a covered benefit based on the policy provisions, terms, and conditions.3. Adjudicate reimbursement claims in accordance with the different processes within defined authority limit and escalate to...

Healthcare Claims SpecialistIn this challenging role, you will play a pivotal part in enhancing healthcare outcomes by connecting individuals with essential resources and services.The ideal candidate will possess a college degree and at least one year of experience in claims or collections, along with strong analytical and problem-solving skills.Main...

Position Summary:The Claims Team Leader is responsible for overseeing the daily operations of the claims team to ensure the accurate and timely handling of claims and reimbursements. This role demands strong leadership, exceptional attention to detail, and a collaborative mindset to coordinate with various departments including Sales, Finance, and...

Job DescriptionWe are seeking a Claims Resolution Specialist to join our team. This role involves reviewing, researching and resolving claims for health plans, commercial customers and government entities.As a Claims Resolution Specialist, you will be responsible for analyzing and identifying trends and providing reports as necessary. You will also ensure...

Medical Billing Specialist OpportunityWe are seeking a detail-oriented Medical Billing Specialist to support the revenue cycle operations of our healthcare client.This role is primarily focused on reducing claim denials and recovering aging or stale claims.You will be working directly in our clients billing system, managing claim queues, and communicating...

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...