Medical Claims Specialist

Are you a dedicated healthcare professional with a passion for accuracy and attention to detail? Do you have experience in a clinical setting or medical claims and coding? We have an exciting opportunity for you!

Clark, Pampanga | Onsite | Shifting Schedule
P27,000 - 29,000

As a Medical Claims Specialist, you will play a vital role in ensuring the smooth processing of medical claims. Your responsibilities will include accurately reviewing and adjudicating claims based on established guidelines and policies. You will utilize your knowledge of medical codes, supporting documents, and observations to determine the appropriateness of claims. Your expertise will contribute to maintaining high standards of quality and compliance in our claims processing operations.

We are looking for individuals who are meticulous, analytical, and have excellent problem-solving skills. You should have a strong understanding of medical terminology, procedures, and coding systems. Experience in medical claims or medical coding will be highly valued, as it demonstrates your ability to navigate the complexities of healthcare reimbursement.

* Graduate of Nursing or Allied Health courses (e.g., Nursing, Pharmacy, Medical Technologist, etc)
* Current license to practice in the Philippines
* Minimum of 1 year experience in a clinical setting and 1 year experience in medical claims/medical coding