Job Description
Overview
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)
Responsibilities
Analyze, adjudicate, audit and process claims (In-Patient, Out-Patient Hospital Bills and Professional Fees) in accordance with medical guidelines and policies within SLA requirements.
Qualifications
Graduate of Bachelor of Science in Nursing or any related medical course (FRESH GRADUATES ARE WELCOME TO APPLY)
Above average communication and interpersonal skills
Must be customer-service oriented
With expertise/familiarity with medical terminologies
Computer literate
With experience in claims processing and reconciliation
Willing t...
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