claims processor

2 weeks ago


Makati City, National Capital Region, Philippines Global Quest Consulting Group, Inc. Full time ₱250,000 - ₱350,000 per year

Date Posted: April 4, 2022

Job Location: Makati City

Job Description:

Job Description:

  • Checks completeness of required documents

  • Process all eligible claims with 5-15 working days TAT depending on pre-agreed credit term with the Provider with the 10-15% margin for error/correction

  • Ensures that all medical claims for check payment request has secured proper approval

  • Prepares Check Payment Request within 2-7 working days TAT depending on the pre-agreed term with the provider with 10-15% margin for error/correction

  • Forward apppoved CPR to Accounting within 24 hours TAT

  • Updates tracking records of all received check payments

  • Prepares attachments of check payments (Cover latter, Computation Sheet, Withholding Tax Certificate) within 1-2 days working days TAT

  • Transmits check payments to Providers within 1-2 working days TAT

  • Conducts routine reconciliation of Outstanding Accounts with Provider

  • Provides detailed report on the reconciliation made

  • Ensures that Outstanding Account are settled within 3-5 working days after reconciliation

  • Ensures that all medical claims documents are properly filed and labeled

  • perform other clerical activities

  • Other duties may be assiged from time to time

Qualifications:

Qualification:

  • With a Bachelor's degree with any courses

  • Computer literate

  • Flexibile

  • Willing to work as soon as possible

  • With pleasing personality

  • We accept fresh graduates



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