Operations Coordinator - Makati, Metro Manila

Job Summary

Oversees and manages daily operations for its clients, affiliate dental and medical facility partners,and vendors in connection with appointment booking eligibility benefit coverage and limitation,and claims adjudications associated with a wide range of medical dental insurance products.

Responsibilities

• Provide quality customer service telephonically proper documentation via the platform with regards to appointments benefitsclaims concerns.

Bullet Points

• Attend provider recruitment meetings presentation required Ensures that provider contacts supporting documents submitted timely manner Manage provider servic epojects needed ensure deadlines met Prepare various reports regular updates recruitment servic eprojects directed Management;

• Retrieval claims documents mailing address Medical claims processing analysis all claims Compile verify interpret analyze summary claim data preparation client payment report Investigating potentially fraudulent claims Review obtain necessary approval documents policyholders providers Identify resolve claim related inquiries issues Adaption responsibilities business requirements cases limited transactions Operations Coordinator assigned additional responsibilities support teams ongoing needs;

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