Claims & Compliance Advocate — Patient Care Liaison

MedRisk; Metro Manila; On-site; PHP 279,000 - 391,000; Full time

Job summary

MedRisk in the Philippines is seeking a healthcare claims processor to manage claims and monitor case status by confirming patient attendance with network providers and addressing compliance concerns.

You will update case data on MedRisk’s database, track and relay authorizations to providers as directed by clients, and build professional relationships with providers and referring customers while ensuring HIPAA and URAC guidelines are followed.

Qualifications

• Experience in healthcare claims processing preferred.
• Knowledge of HIPAA regulations and privacy practices.

Responsibilities

• Review and process healthcare claims.
• Verify patient attendance with network providers.
• Ensure HIPAA/URAC compliance in all activities.
• Coordinate claim authorizations with clients and providers.

Skills

Claims processing

HIPAA compliance

Communication skills

Job description

MedRisk is seeking a healthcare claims processor in the Philippines to manage claims and monitor case status by confirming patient attendance with network providers and addressing any compliance concerns.

You will update case data on MedRisk’s database/platform, track and relay authorizations to providers as directed by clients, and build professional relationships with providers and referring customers while ensuring HIPAA and URAC guidelines are followed.