MEDICAL CLAIMS ANALYST jobs in MAKATI CITY METRO MANILA, United Kingdom

Assure accurate insurance claims adjudication in a timely manner. Assure timely submission of invoices/claims... utilization report. Validate documents received as well as members' information to adjudicate the Claims based on the submitted...

to communicate clearly and effectively with peers and higher management Able to assess complex medical claims Can decide on complex... medical claims based on information gathered, product provisions and applicable insurance laws Able to clearly explain the...

Collabera Digital is looking for a Global Benefits and Claims Analyst! As a Global Benefits/Claims Analyst... in various areas of US healthcare and benefits like medical, voluntary benefits, management solutions, dental, vision...

As a Health Clinical Services Analyst, you will play a crucial role in supporting healthcare providers by accurately... transcribing medical information into Electronic Medical Records (EMR) systems. Operating in a virtual environment, you'll need...

, innovative solutions, and technologies. CompIQ Solutions is a market leader in the Workers Compensation Medical Bill Review...: Processes bills in accordance with multi-state schedules, rules, regulations, and guidelines. Reviews medical and consulting...

. Accurately produce client-ready reports that show past, present, and future financial impact and utilization of medical, pharmacy..., experience reporting (premium and claims) Data validation, manipulation, and formatting in data management tools (advanced Excel...

Responsibilities (may include and are not limited to) Expenses Review receipts of submitted expense claims against expense report items... to correct the submitted expense report claims. Manage overdue approval of expense report by following up and/or reassigning...

and ship & debit claims for ADI/MXM distributors Reconcile discrepancies among systems Resolve exceptions with our distribution... partners Periodic progress report of POS & claims processed Work with Manager to handle ad-hoc analysis...

and are not limited to) Expenses Review receipts of submitted expense claims against expense report items, type, codes, currencies... submitted expense report claims. Manage overdue approval of expense report by following up and/or reassigning approvers Upload...

and ship & debit claims for ADI/MXM distributors Reconcile discrepancies among systems Resolve exceptions with our distribution... partners Periodic progress report of POS & claims processed Work with Manager to handle ad-hoc analysis...

grievance and appeals regulations per CMS Experience in medical benefits and health care industry regulations and processes...; experience in claims, authorizations, and Medicare Advantage plans Experience working in or with Medicare Advantage plans...

exposed to utilization management workers' compensation or health insurance claims Willing to work on Nightshift, weekends... and holidays - 5-day work week (paid night differential) Medical / Health Insurance Paid Sick Leave Performance Bonus Paid...

using Corporate Solutions products. Generation of First Year (FY) premiums for Group Life, Group Medical and or Voluntary... that may be assigned from time to time. Coordinates with CS Finance and Operations on RI reports and claims of per client...

, and address customer queries. Download billed premiums and Medical Claims from MAS, sort per account and coverage period, compare... Reimbursement 15 Vacation Leaves 15 Sick Leaves 3 Emergency Leaves Annual Medical Allowance Laptop Provided on Day 1...