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Job Description
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1. Reviewing claims in preparation for their submission to insurance companies |
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2. Collecting, organizing, and storing claims files using computers and filing systems. |
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3. Follow-up and Processing of claims complaints. |
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4. Ensure to comply with the Insurance Company requirements. |
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5. Complete logs, reports, forms and records to properly document medical claims. |
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6. filing all approved claims. |
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7. Making and reviewing all claims bills for medical and non-medical services. |
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8. Coordinate with the insurance specialist for speedy processing of patients’ documents. |
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9. Identify and escalate customer issues to immediate Supervisor. |
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10. Contribute to ensure all requirements documents are submitted for reimbursement claims. |
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11. Inform the team for any new regulations of the insurance field. |
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12. Coordinate with insurance specialist and billing team for any additional document support. |
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13. Protects operations by keeping claims information confidential. |
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14. Performs other related duties as assigned by management. |
Requirements and Responsibilities
Qualifications:
Education/ Licensure/ Professional Experience:
Bachelor's Degree in Finance/ Bachelor's Degree in insurance and risk management or equivalent from an accredited university with a minimum of one (1) year experience (Essential).
Insurance Foundation Certificate Examination (IFCE) (Essential).
Education
Bachelor's Degree in Finance/ Bachelor's Degree in insurance and risk management
