Healthcare Analyst
4 days ago
STRATEGIC STAFFING SOLUTIONS (S3)
Position
: Clinical Claims Processor
Work Set-Up
: Onsite
Office Location:
Makati City
Schedule:
Night Shift (EST)
JOB RESPONSIBILITIES
As a
Claims Processor
, you will be responsible for accurately processing both manual and electronic claims, meeting production goals, ensuring high-quality standards, adhering to compliance policies, fostering a positive work environment, and actively contributing to continuous improvement efforts within the claims processing workflow and department.
Claims Processors
are handling clinical claims; this role is critical in ensuring the accurate and efficient processing of medical insurance claims.
RESPONSIBILITIES:
- Inputting documents into the system accurately and efficiently.
- Ensuring high-quality data entry with minimal errors.
- Correcting errors in electronic claims efficiently.
- Ensuring accuracy in claim corrections to prevent delays and incorrect payments or denials.
- Adhering to compliance policies while handling sensitive health documents.
- Maintaining a positive attitude towards colleagues for a collaborative work environment.
- Communicating all findings and suggestions for work improvement to enhance overall efficiency and quality.
REQUIREMENTS:
- At least Senior High/College Level.
- At least 2 years of solid experience in US Healthcare (Clinical claims processing)
- Excellent English Communication Skills (Verbal and Written)
- Excellent organizational skills and attention to detail.
- Very good communication and customer service orientation.
- Problem-solving skills by working independently and in collaboration with other teams.
- Previous experience in the medical field or similar role would be an advantage.
- Amenable to working on a full-time night shift.
- Adaptive, open to learning, and can work in fast-paced environment.
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