- Receives Claims Documents from Receiving and Encoding Sections for review.
- Prepares reports and statistics for management's information.
- Assists in updating status of assigned claims to broker(s), agent(s) and / or Insured.
- Reports to department officers progress of assigned claims for processing.
- Monitors and follows up evaluations to meet turn around time.
- Assists in the proper maintenance of claims files.
- Monitor and follow up requests for lacking documents and premium payments for the proper evaluation of the claims being processed.
- Reviews and Checks all invoices submitted for payment.
- Recommends Payment Orders to department officers for payment.
- Reviews and closes all settled claim files and moves the same to the Archives.
- Answers phone inquiries relative to the claims being processed.
- Performs other duties that may be assigned from time to time.
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Claims Processing Assistant
5 araw ang nakalipas
Polytechnic University of the Philippines Taguig, Philippines, Pilipinas Buong orasDescription: · Duties and Responsibilities:Assists in new matters, endorsements, finalizing medical updates and release of documents · Assists in settlements and repatriation of seafarers/human remains when the Liaison Officer is not available · Adheres to the Quality Policy, Qua ...
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Medical Claims Analyst
5 araw ang nakalipas
Med-Metrix Philippines, Manila, Pilipinas Buong orasJob Type · Full-time · Description · Follow-up with payers to ensure timely resolution of all outstanding claims, via phone, emails, fax or websites. · Meets and maintains daily productivity/quality standards established in departmental policies. · Uses the workflow system, clien ...
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AR Insurance Representative l Ortigas l Nightshift l Onsite
5 araw ang nakalipas
Microsourcing Philippines Inc Metro Manila / NCR, Pilipinas Buong orasJOB SUMMARY: This position is responsible for generating and reviewing billing and processing claims within the billing software (Brightree). The expectation of this position is to provide a first-class service experience, with every patient/or physician interaction. · ESSENTIAL ...
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Account Officer
1 araw ang nakalipas
Prudential Guarantee and Assurance, Inc. Manila, Pilipinas Buong orasResponsible for soliciting and handling of business of assigned accounts for the company by establishing business relationship with producers/clients.-Assists in designing comprehensive insurance packages needed by potential clients-Develops and maintains personalized service to ...
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Revenue Cycle Operations Manager
5 araw ang nakalipas
Microsourcing Philippines Inc Metro Manila / NCR, Pilipinas Buong orasManager is responsible for managing the Insurance Accounts Receivable Representative's primary responsibility is to provide the highest quality of customer service and accounts receivable management to our patients by embracing the Well Care Guiding Principles. The representative ...
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Insurance Assistant
5 araw ang nakalipas
Malayan Insurance Co., Inc. Philippines, Manila, Pilipinas Buong orasCompany Description · Malayan Insurance Co., Inc. is the leading non-life insurance company in the Philippines. Since its founding in 1930, Malayan has been committed to providing service excellence, quality insurance protection, and fast processing and settlement of claims. With ...
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Assistant Quality Manager US Healthcare experience prior auth rev
1 araw ang nakalipas
BPO-services Manila, Pilipinas Buong orasAssistant Quality Manager US Healthcare experience prior auth review. Must have US Healthcare experience prior authorization/RCM/UMR/Claims/Billing/Pharmaceutical65k to 95k. can work onsite. can start asap. amenable working the graveyard shift. ...
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Company Nurse/HR Assistant
5 araw ang nakalipas
MSIG Global Philippines, Manila, Pilipinas Buong orasWhat you will do · The Company Nurse / HR Assistant is responsible for the Healthcare Management of MSG Global Solutions Philippines, Inc's employees through compliance with Occupation Safety and Health Standards. Company Nurse / HR Assistant is also tasked in facilitating the he ...
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Healthcare
1 linggo ang nakalipas
Neksjob Metro Manila, Pilipinas ContractHandle inbound calls from customers and health providers. Assist customer requests for doctor's appointment, medicine replenishment, health insurance claims, etc. Answer inquiries about health insurance coverage. Requirements:Any Medical Allied Courses (graduate not required, exp ...
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AR Medical Biller
5 araw ang nakalipas
Microsourcing Philippines Inc Metro Manila / NCR, Pilipinas Buong orasJob Description:Analysis · - Understand billing/coding as it relates to allergy care · - Understand basic codes used in medical allergy billing · - Detect trends in rejections · - Review insurance contracts · - Relay changes in payment fee schedule to M.D. · Medical records · - C ...
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News Intern
1 linggo ang nakalipas
PressOnePH Manila, PilipinasCompany Description · PressONE.PH is an independent news and information website that covers the Philippines for both Filipino and global audiences. The company is committed to responsible journalism and the fight against disinformation and propaganda. The team at PressONE.PH is ...
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BPO Agents
4 araw ang nakalipas
Neksjob Philippines Manila, Pilipinas Buong orasKey Responsibilities:Provide exceptional customer service to patients, healthcare providers, and insurance companies.Answer incoming calls and respond to inquiries related to healthcare services, billing, insurance claims, and appointments.Navigate and update electronic health re ...
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Shipping Operations Executive for Singapore Client
5 araw ang nakalipas
MySigrid Philippines, Manila, Pilipinas Buong orasRequirements · MySigrid is searching for a highly organized and detail-oriented individual to join our team as a Shipping Operations Executive. The ideal candidate will be tasked with providing thorough documentation and operational support to facilitate seamless shipping transac ...
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Insurance Account Assistant
5 araw ang nakalipas
Diversify Intelligent Staffing Solutions Inc Metro Manila / NCR, Pilipinas Part timeSUMMARY · The Strata Community Associate role is mainly responsible for providing administrative assistance to the Strata management department. This involves performing daily administrative tasks such as responding to queries, attending meetings, and providing information to ow ...
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Administrative Staff
1 linggo ang nakalipas
Dempsey Resource Management, Inc Manila, Pilipinas Buong orasAs Admin. Staff, he/ she shall perform administrative task and expected to support multipleexecutives.SPECIFIC DUTIES AND RESPONSIBILITIES: · • Manage calendar and scheduling. · • Providing administrative assistance, such as writing and editing e-mails, draftingmemos, and prepari ...
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Business Development Support
1 linggo ang nakalipas
C'EST LA VIE EVENT MANAGEMENT INC Manila, Pilipinas Contracta. Generating leads by identifying potential channel partners / SPANCO developmentb. Provide assistance in activation of channel partnersc. Provide list of prospect of channel partnersd. Conduct initial engagements for prospect of channel partnerse. Engagement and set up on new c ...
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Contracts Manager
5 araw ang nakalipas
Global Projects Services AG Manila, Philippines, Pilipinas Buong orasMission · During the contract execution phase, analyze and manage the contract terms, exploring contractual solutions and alternatives in order to minimize risks and optimize opportunities · Tasks · Manage and coordinate contract management activities ensuring that all aspects of ...
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Accounting Officer
2 linggo ang nakalipas
Navigator Gas Manila, Pilipinas Buong orasThe Accounting Officer is responsible for maintaining accurate financial records, processing invoices, reconciling bank statements, preparing financial reports, ensuring tax compliance, and providing tax-related advice to optimise the company's overall fiscal standing. · Responsi ...
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Finance & HR Administrative Associate
5 araw ang nakalipas
Jacinto & Lirio Philippines, Manila, Pilipinas Buong orasJACINTO & LIRIO (meaning 'Hyacinth' and 'Lily') is a social enterprise that transforms a 'pest' into eco-iconic and multi-functional leathergoods sustainably made from water hyacinth, with a mission to empower affected families by the water hyacinth infestation problem through li ...
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Product Research Associate
5 araw ang nakalipas
Eclaro Business Solutions Incorporated Metro Manila / NCR, Pilipinas Buong orasOur Product Intelligence data pipeline is continually onboarding and analyzing a massive amount of new food, nutrition, and consumer products onto our platform. This requires ongoing data attribute creation, analysis, data accuracy, and maintaining rigorous food, nutrition, and p ...