- Evaluates and adjudicates providers/members claim based on benefits provided in the existing service agreements and remaining benefit limit.
- Ensures accurate processing of claims based on company guidelines/standard rates and policies on supporting documents.
- Monitors properly the member’s remaining benefit limit prior to processing of claims.
- Complies with the standard turnaround time in processing claims and meet the set production target.
- Coordinates and consults with medical resource person for complex cases.
- Conducts claim physical inventory count as scheduled.
- Prints analysis sheet to support bills/claims processed.
- Endorses the following documents properly to concerned support team/other department/units:
- ASO
- Excess charges
- Pending claims
- Denied claims
- Complies with company policies including attendance and punctuality.
- Performs other tasks as may be assigned from time to time.
REQUIREMENTS:
- Candidate must possess at least a Bachelor's/College Degree , Nursing or equivalent.
- Applicants must be willing to work in Davao,Kidapawan,bukidnon,Makati city.
- Fresh graduates/Entry level applicants are encouraged to apply.
- 10 Full-Time and Temporary position available.
- APPLY HERE:http://www.jobstreet.com.ph/jobs/2011/1/m/80/2555839.htm?fr=L
No comments:
Post a Comment