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Claims Associate

1 Year or less Experience

Cocolife

With business certificates | Established in 1978 | 501-1000 employees
Makati, Metro Manila
Total vacancies for this job title : 1
Posted on : October 13, 2019
Job ID : 328826

Details

COCOLIFE
 
Is currently looking for:
 
CLAIMS ASSOCIATE
 
Job Summary:
  • Responsible for the evaluation and prompt processing of claims billed by accredited clinics nationwide, accurate transmittal of checks to our clients, complete and timely transmittal of bill back claims; and maintenance of complete and updated claims records
  • Sort and log received claims from accredited clinics nationwide
  • Encode claim data and update claims status in the claim monitoring summary
  • Evaluate claims received by checking the completeness of required documents and its details as well as the necessity and reasonableness of its payment.
  • Analyze documents received if the claim needs to be denied or approved, based on the account’s Schedule of Benefits, or if there are lacking documents
Work Schedule: Mon-Fri, 8AM-5PM
 
  Job Specification:
  • ACADEMIC BACKGROUND
    • College degree of any medical-related courses (Nursing, PT, Red Tech etc)
  • WORK EXPERIENCE
    • With experience in an HMO setting
  • COMPETENCIES AND SKILLS
    • Claims Adjudication
Required Manpower: 1-BGC


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