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Ubiquity Global Services Claims Examiner | Healthcare account - VOICE in Taguig, Philippines

Claims Examiner | Healthcare account - VOICE

Compensation & Benefits:

  • HMO up to 4 dependents

  • Group Life Insurance

  • Retirement Benefit

  • Investment Opportunities

  • Corporate Loan Assistance

  • Tenure-based Benefits

  • Profit Sharing

Responsibilities:

  • Receiving calls about health care insurance coming from network providers

  • Review of claims based on provider and health plan contractual agreements, claims processing guideline, reviewing duplicate claims and coordinating benefits (COB) with other health insurance.

  • Review of manual processing to ensure accuracy and timeliness of claims processing.

  • Accountable to support company?s goals and follow all set processes.

  • Using DOFR-Division of Financial Responsibility ? Identify claims that are not our clients financial risk.

  • Verify patient?s accounts for eligibility and benefits.

  • Read, interpret and summarize provider contracts.

  • Validate paper claims data against system data for accurate data capture.

  • Adjudicate claims in accordance with department policies and procedures and other business rules.

Qualifications:

  • Bachelor's Degree in Healthcare or any related field

  • Must have experience handling HMO Claims

  • Excellent verbal and written communication skills.

  • Be able to receive direction and training on extensive claim adjudication.

  • Knowledgeable of Medi-Cal and Medicare are a plus

  • Knowledgeable of EZ Cap claims platform and claims adjudication process are preferred but not a requirement

APPLY NOW! Walk-in at 10F Bench Tower Rizal Drive cor 30th St BGC Taguig

Nearby Transportations:1) Ride an EDSA/Ayala or Market Market BGC Bus (Central Route Bus) and Drop Off to: Bonifacio Stopover then Walk it from there (5 min)2) Ride a Jeepney going Makati and Drop Off to Guadalupe Nuevo then Ride a Tricycle and Drop Off to "Stoplight" then Walk it from there (10 min)

Landmark: Near Mind Museum

OR COPY AND PASTE THIS LINK TO APPLY: http://bit.ly/UbiquityTaguigHiring

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