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    Claims Processor - Metro Manila, Pilipinas - Microsourcing Philippines Inc

    Microsourcing Philippines Inc background
    Buong oras
    Paglalarawan

    With a presence of over 7,000 professionals spread across 9 delivery centers in the Philippines, MicroSourcing stands out as the largest offshoring solutions provider in the country.

    Join MicroSourcing as a Medical Claims Analyst and be 100% YOU!

    A Medical Claims Analyst is responsible for:

    • Handling Claim Denials:
      • Submitting appeals when necessary
      • Submitting corrected claims as required
      • Communicating with Insurances regarding denied claims
      • Consistently following up with insurance companies to ensure timely resolution of denied claims
      • Taking detailed notes during discussions with insurance companies regarding denied claims
      • Seeking guidance from supervisors for denial resolution
      • Utilizing insurance provider portals
    • Managing Outstanding Claims (>45 Outstanding A/R):
      • Verifying the status of claims outstanding for over 45 days
      • Contacting insurances for EOB or claim status updates
      • Using insurance provider portals
      • Coordinating with the coding/AR team on-site at the HQ

    Requirements to be part of our team:

    • Bachelor's Degree in any field
    • Minimum of 3 years of experience in processing claims and denials
    • Exceptional written and verbal communication skills
    • Strong data entry skills with high accuracy and attention to detail
    • Preferably familiar with the EPIC system
    • Ability to attend weekly meetings and daily check-ins consistently
    • Willingness to work Night Shift
    • Ability to work On-Site (Eastwood Site)

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