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
Corporate Loan Assistance
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.
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