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Claims Executive/Specialist | Asia Pacific Healthcare Account - AVEGA

2022-09-28 05:38菲律宾2360
区域:All Cities
行业:Healthcare
职位:Practitioner / Medical Asst
部门:
人数:若干
性质:Full Time
性别:Male
婚姻:No marital status restrictions
学历: College Diploma
经验:不限
年龄:18岁以上
待遇:面议

Be part of our growing Pioneer Team! Provides administration support for claims processing and perform simple claims assessment.

Earn up to P30,000.00 monthly Salary HMO coverage from day 1 of employment; with dependent/s Dental Benefit Monthly performance incentives 

Requirement

Able to work on-site1 – 2 years relevant experience in Healthcare, Insurance or BPO industryExcellent verbal and written communication skillsProficient in Windows OS, MS Office applications Has a Knowledge in medical and insurance terminologiesHas critical thinking skills with a focus on issue resolution and customer satisfaction Can multitask and has high attention to details Is self-motivated, can work independently, and contribute to cross-functionalIs flexible and can quickly adjust to frequent process and information changes Can work under pressure 

Tasks

Adjudicate claimsInitiating or conducting investigations of questionable claims.Resolves claims by approving or denying, calculating benefit due, initiating payment, preparing notice to member after case adjudication by indicating remarks in the system.documentation of medical claims by preparing worksheets for inpatient cases, data entry in the system, reports, logs and records.Maintains quality services by following client service practices and responding to customer enquiries.Performs second layer checking of claims proposed by junior assessorsHandles specific portfolio with specific service agreement

Qualifications

Bachelor’s degreeBachelor's degree in medical-related field is an advantage
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