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...

JOB PURPOSE:Responsible for analyzing, adjudicating, auditing and processing of claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements)Graduate of Bachelor of Science in Nursing or any related medical course (FRESH GRADUATES ARE WELCOME TO...

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...

Job Objective / PurposeThe Claim Processor is responsible for timely processing of medical claims based on the member's health benefit program. They analyze medical information, perform data entry, handle reimbursement claims, and decide whether a claim should be covered or denied. Communicate issues or exceptions to other concerned departments as...

We are hiring several Medical Billers to join our team in Makati City A Medical Biller is responsible for submitting medical claims to insurance companies and payers.Responsibilities:Input new claims, determine eligibility for claims processing, processing payments through both automated and manual information systems, conduct billing research and respond to...

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...

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...

BENEFITS/PERKSCompetitive Salary13th and 14th month guaranteedPerformance Incentive Plan / Yearly BonusRetirement Program and Group Life InsuranceHybrid Work Set-up after 6 months of employmentJOB DETAILS / ROLE PURPOSEThe role of Claims Officer involves processing medical claims for clients in their assigned region. We ensure a high level of client service...

YOUR ROLEVerification of cover in order to determine if indeed there is coverage/policy in-force when the loss occursMakes the necessary recommendation on a claim (such as for final action or to require further documents or information) or makes a final decision on claim, in accordance with the claim's authorityHandles the necessary communication that should...

Duties & Responsibilities:Validate all the claims received from the customers.Gather the necessary information from people involved in the claims to obtain proof of delivery from the appropriate carrier.Communicate with different departments to correct issues that arise and properly clear deductions.Issuance of Debit memo to all carriers involved in the...