medical claims associate

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...

1. CLAIMS PROCESSINGEnsures accurate review of claims document like LOA, hospital bills/SOA, concurrent review form, physician's report, original OR for use in processing claims.2. CLAIMS REVIEW/ EVALUATION/ ADJUDICATIONReviews/evaluates claims and adjudicates claims to ensure claims are according to benefits plan, coverage and policies and standards3....

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...

Medical Claims SpecialistWe are seeking an experienced Medical Claims Specialist to collaborate with our team. This role involves verifying patient eligibility, reviewing patient bills, and communicating with insurance companies.Responsibilities:Verify patient eligibility and benefits for treatments, hospitalizations, and procedures.Review patient bills for...

Medical Billing Specialist RoleAbout the JobWe are seeking a skilled Medical Billing Specialist to join our team. As a key member of our organization, you will be responsible for preparing and submitting medical claims to insurance companies.Your primary focus will be on ensuring that all necessary information is accurate and up-to-date, collecting and...

Claims Specialist RoleThe Claims Associate plays a vital role in ensuring seamless claim processing and streamlining the claims management process.This position requires strong organizational skills, attention to detail, effective communication, and proficiency in handling multiple tasks simultaneously.The ideal candidate will possess excellent time...

Job OpportunityWe are seeking an experienced professional to fill a Medical Billing Specialist position within our expanding team.About the RoleVerify patient eligibility and benefits for various treatments, hospitalizations, and procedures.Review and verify patient bills for accuracy and completeness, and obtain any necessary information.Follow up on unpaid...

Responsible for evaluation and prompt processing of claims.Prefers medical allied or with relevant experience (claims) in the healthcare industry.Open to associate graduates with relevant experience.Open to Fresh grads of Medical Allied field.Amenable to report onsite Location: Cocolife Bldg., Ayala MakatiBENEFITSGuaranteed 15th month bonus plus performance...

Responsible for evaluation and prompt processing of claims.Prefers medical allied or with relevant experience in the healthcare industry.Open to associate graduates with relevant experience.Open to Fresh grads of Medical Allied field.Amenable to report onsite.BENEFITSGuaranteed 15th month bonus plus performance incentivesFree group life insurance coverage...

Communicate with policyholders, detect potential fraud, maintained detailed records, ensure timely and compliant claims resolution.Qualifications:Bachelor's degree in Business Accountancy, IT, or a related field (preferred) or Medical Allied CourseKnowledgeable in MS-Office especially Excel / Data AnalyticsPrior experience in insurance claims processing or...