Healthcare Claims Processor & Analyst

Dempsey Resource Management Inc.; Makati; On-site; PHP 182,800 - 218,959; Full time

Job summary

A human resource management firm in Makati is seeking a Claims Processor/Analyst to handle medical claims processing. Responsibilities include reviewing claims for accuracy and completeness, data entry, and evaluating claims against policy provisions. Ideal candidates have a related degree and experience in claims processing, with strong analytical and communication skills. Competitive salary offered at PHP 18,000 per month.

Qualifications

• 1-2 years of relevant experience in medical claims processing or administrative support in healthcare.
• Familiarity with medical billing and reimbursement processes.
• Experience working with HMO procedures is a plus.

Responsibilities

• Review and process medical claims submitted by members or healthcare providers.
• Encode claims data into the medical claims processing system.
• Evaluate claims against policy provisions and clinical guidelines.

Skills

Attention to details

Analytical thinking

Communication

Technical proficiency

Problem-solving

Education

Bachelor’s degree in Business administration, Healthcare Management, Nursing, or related field

Diploma in medical, healthcare, or business-related field

Tools

Medical claims processing systems

Microsoft Excel

MS Word

Job description

A human resource management firm in Makati is seeking a Claims Processor/Analyst to handle medical claims processing. Responsibilities include reviewing claims for accuracy and completeness, data entry, and evaluating claims against policy provisions. Ideal candidates have a related degree and experience in claims processing, with strong analytical and communication skills. Competitive salary offered at PHP 18,000 per month.