Healthcare Analyst

2 days ago

Makati City, National Capital Region, Philippines Strategic Staffing Solutions Full time ₱800,000 - ₱1,200,000 per year

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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