Medical Claims Analyst, Makati
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Makati, Philippines -
Posted: 30 Nov
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- Assure accurate insurance claims adjudication in a timely manner.
- Assure timely submission of invoices/claims utilization report.
- Validate documents received as well as members' information to adjudicate the Claims based on the submitted information.
- Apply the Plan policy and its exclusion as well as underwriting guidelines to determine coverage for claims.
- Deny claims according to SOB, exclusions and policies.
- Assure timely payment of invoices from providers and ensure all information and documents needed are accurate and complete.
- Keep management aware of members' issues from providers to enhance operations and escalate to the higher-ups when necessary.
- Coordinate with providers all Claims unpaid and do reconciliation.
- Answer inquiries and handle complaints from providers.
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Company nameMarine Benefits, Inc. -
Job positionMedical Claims Analyst
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Medical Claims Analyst has been posted in the Manila Accounting, Financing & Banking category on Locanto.
If you’re looking for something similar, check out Content Analyst, Pasig, Accounts Receivable Manager, Makati or Accounting Associate in Makati, also posted in Accounting, Financing & Banking. In total, we have 806 ads in Accounting, Financing & Banking in Manila on Locanto classifieds.
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