Description
Job Functions:
• Check availability and accuracy of claims details.
• Make necessary corrections of claims details.
• Verify unlisted claims in System with biller.
• Process claims using the prescribed process and based on existing guidelines.
• Prepare transmittal of claims for check preparation.
• Approve payment for claims within the authority limit of Php5,000.00.
• Recommend approval of claims payment beyond authority limit.
• Prepare and submit Claims Statement and Statement of Account to biller for bill back of excess of
benefits to client or company.
• Turn over complete claims documents to Front Desk for proper filing.
• Answer inquiries via email or phone regarding status of claims or overdue payments.
• Documentation of medical claims disputes or complaints.
• Resolution or escalation of claims disputes or complaints.
• Coordination with sales and other work units regarding non-claims related customer concerns received
via email or phone.
Job Requirements:
• Must be a College Graduate with Degree in any Medical or Business-Related discipline.
• With at least (1) year experience in Medicals Claims processing.
• Proficient in using Microsoft Office Applications - MS Word, Excel.
• Analytic and keen to details.
Requirements
Minimum education level: Bachelor ́s Degree
Years of experience: 1
Language(s): English ,Tagalog
Availability for travel: No
Availability for change of residence: No
Job Functions:
• Check availability and accuracy of claims details.
• Make necessary corrections of claims details.
• Verify unlisted claims in System with biller.
• Process claims using the prescribed process and based on existing guidelines.
• Prepare transmittal of claims for check preparation.
• Approve payment for claims within the authority limit of Php5,000.00.
• Recommend approval of claims payment beyond authority limit.
• Prepare and submit Claims Statement and Statement of Account to biller for bill back of excess of
benefits to client or company.
• Turn over complete claims documents to Front Desk for proper filing.
• Answer inquiries via email or phone regarding status of claims or overdue payments.
• Documentation of medical claims disputes or complaints.
• Resolution or escalation of claims disputes or complaints.
• Coordination with sales and other work units regarding non-claims related customer concerns received
via email or phone.
Job Requirements:
• Must be a College Graduate with Degree in any Medical or Business-Related discipline.
• With at least (1) year experience in Medicals Claims processing.
• Proficient in using Microsoft Office Applications - MS Word, Excel.
• Analytic and keen to details.
Requirements
Minimum education level: Bachelor ́s Degree
Years of experience: 1
Language(s): English ,Tagalog
Availability for travel: No
Availability for change of residence: No
Other Info
Makati, National Capital Region · Today, 04:34 PM
Work type
Full Time
Work type
Full Time
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M2MJ Human Resources Consulting
About the company
M2MJ Human Resources Consulting jobs
Makati, National Capital Region · 11 September (updated)
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Position claims Assistant - medical claims recruited by the company M2MJ Human Resources Consulting at Makati, Joboko automatically collects the salary of Apply, finds more jobs on Claims Assistant - Medical Claims or M2MJ Human Resources Consulting company in the links above
About the company
M2MJ Human Resources Consulting jobs
Makati, National Capital Region · 11 September (updated)