Medical Claims Processor (Reimbursement) - OPEN FOR FRESH GRADUATES

iCare HMO; Philippines; On-site; PHP 279,000 - 446,000; Part time

Job summary

iCare HMO in Makati City is seeking a claims adjudication specialist to analyze, adjudicate, audit and process inpatient and outpatient hospital claims and professional fees in line with medical guidelines.

Fresh graduates welcome; must be computer literate and able to start ASAP; position is fixed-term and onsite.

Qualifications

• Graduate in medical or business-related field.
• Familiar with medical terminologies.
• Computer literate.
• Willing to accept fixed term contract.
• Willing to work onsite in Makati City.
• Can start ASAP.

Responsibilities

• Analyze, adjudicate, audit and process inpatient and outpatient hospital bills and professional fees.
• Ensure adherence to medical guidelines and SLA requirements.
• Maintain accurate documentation and records.

Skills

Medical terminology familiarity

Computer literacy

Education

Bachelor's degree in medical or business-related field

Job description

JOB PURPOSE:

Responsible for analyzing, adjudicating, auditing and processing of claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) according to set medical guidelines, policies within the agreed SLAs (Service Level of Agreements)

• Graduate of any medical or business-related course (FRESH GRADUATES ARE WELCOME TO APPLY)
• With expertise/familiarity with medical terminologies
• Computer literate
• Willing to accept fixed term contract
• Willing to work onsite in Makati City
• Can start ASAP