Healthcare Claims Specialist

Dempsey Resource Management Inc.; Makati; On-site; PHP 279,000 - 390,600; Full time

Job summary

A healthcare resource management firm is seeking a Medical Claims Processor in Makati. Responsibilities include reviewing and processing medical claims, verifying member eligibility, and ensuring compliance with HMO rules. Candidates should have a Bachelor’s degree in Business Administration or related fields, and 1-2 years of relevant experience in medical claims processing or administrative support. Familiarity with medical billing is preferred.

Qualifications

• 1-2 years of relevant experience in medical claims processing or administrative support in healthcare.
• Familiarity with HMO procedures and healthcare provider networks is a plus.

Responsibilities

• Review and process medical claims submitted by members or healthcare providers.
• Check documents for completeness, including medical abstracts and itemized statements.
• Verify member eligibility and benefits coverage.

Skills

Medical claims processing

Attention to detail

Familiarity with medical billing

Education

Bachelor’s degree in Business Administration, Healthcare Management, Nursing

Job description

A healthcare resource management firm is seeking a Medical Claims Processor in Makati. Responsibilities include reviewing and processing medical claims, verifying member eligibility, and ensuring compliance with HMO rules. Candidates should have a Bachelor’s degree in Business Administration or related fields, and 1-2 years of relevant experience in medical claims processing or administrative support. Familiarity with medical billing is preferred.