Reconciliation Specialist

iCare HMO; Philippines; On-site; PHP 223,000 - 391,000; Full time

Job summary

iCare HMO is seeking a detail-oriented Reconciliation Specialist to process and verify provider claims. You will review provider lists against iCare records, resolve discrepancies, and coordinate with internal teams to ensure accurate payment postings and timely status updates.

The role requires strong analytical abilities, excellent communication, and high attention to detail to maintain quality and compliance.

Qualifications

• Degree in Accounting or related field.
• Strong analytical and problem-solving abilities.
• Excellent verbal and written communication.
• High attention to detail and accuracy.
• Proficient in computer skills and MS Office.

Responsibilities

• Review provider lists vs iCare records and reconcile discrepancies.
• Coordinate with providers and internal teams to ensure timely processing and payment posting; monitor status and update tracker.

Skills

Strong analytical skills

Verbal and written communication

Attention to details

Interpersonal skills

Organizational skills

Customer service skills

Education

Accounting graduate

Tools

MS Office

Job description

Job Purpose

This role is responsible for processing reconciliation requests from accredited providers distributed by the PPM-AM. Responds to the queries and provides updates on the status of claims on a timely manner. Ensure active status and be able to secure Certificate of Good Credit Standing from the facility/institution.

Principal Accountabilities

1. Claims Reconciliation Processing

• 1.1 Review the provider sent list vs iCare records
• 1.2 Coordinate with the provider for any lacking requirements within 3 days from the receipt of the claims.
• 1.3 Coordinate with Claims and Accounting for processing and payment posting
• 1.4 Monitor progress and update the PPM tracker daily
• 1.5 Assist PPM-AM in securing Certificate of Good Credit Standing

2. Reports

• 2.1 Update the performance tracker daily
• 2.2 Endorse to PPM Head Threats/Suspension list and information regarding their claims through the tracker
• 2.3 Perform other tasks/duties to be assigned by the immediate superior

Qualifications

• 1. Accounting Graduate
• 2. Skills knowledge
• 3. Strong analytical skills
• 4. With good verbal and written communication skills
• 5. With high attention to details
• 6. Proficient in computer skills
• 7. Excellent organization and interpersonal skills
• 8. Strong customer service skills and a high level of professionalism