Claims Verifier- COS/EPS

2 days ago


Makati City, National Capital Region, Philippines Asalus Corporation (IntelliCare) Full time ₱150,000 - ₱250,000 per year

The Claims Verifier is responsible for entering and adjudicating a member's out-patient claims based on received claims documents, provider and health plan contractual agreements and claims processing guidelines to ensure the proper recording and computation of client/member utilization as well as processing of payment in accordance with the SLAs to our accredited providers (particularly clinics, doctors and dentists).

Job Qualifications:

  • Graduate of Business or Medical course
  • Preferably with at least 1 year of related working experience in claims verification or in an HMO Setting
  • Knowledgeable in medical terminologies
  • Willing to work on shifting schedule

Job Competencies:

  • Possesses good written and communication skills
  • Proficient in Microsoft office applications

Personal Character:

  • Is able to work effectively under pressure
  • Possesses a sense of urgency and attentive to details
  • Work oriented and flexible

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