Claims Assistant
ClosedAssistant Finance / Accounting
Location
Vacancies
Job Overview And Responsibility
- Processing of out-patient and in-patient utilization + Checking the completeness of supporting documents + Encoding in the Enhanced Membership Monitoring System (EMMS) of details of utilization such as diagnosis, amount, procedure done, hospital bills, and professional fees - Processing of members’ utilization reimbursement such as maternity assistance, ER changes, laboratory changes, professional fees, dental fees, and death assistance - Processing of Account Receivables utilization (for special accommodation of non-members) if applicable - Printing of utilization report summary from the EMMS for sending to the Providers (hospitals, doctors, clinics, labs)
Required Skills and Experience
- Must be willing to work onsite in Ortigas - Education: + Bachelor's degree in Healthcare Administration, Business, or a related field - Experience: + Previous experience in healthcare claims processing, preferably in a startup or tech-driven environment. + Familiarity with medical coding and billing procedures. - Curious, results-driven, ownership mentality with growth mindset - Excellent verbal and written communications - Collaborative team player with the ability to adapt quickly in a fast-paced environment - Passion for innovation in healthcare
Why Candidate should apply this position
- Health benefits and sick leaves - Company laptop - 13th month pay - Career development and mentorship - Access to global tech and advisory support from Harvard, Stanford, and more - Gov't mandated benefits - HM - Work laptop - Vacation and Sick Leave
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