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MEDICAL CLAIMS SPECIALIST

KMC Work Location: ARMSTRONG CORPORATE CENTER

Location: Makati, NCR

Date Posted: 2023-08-14

Hiring Organization: KMC Solutions | XTN-491A702

Career Category: Biotechnology / Pharmaceutical / Medical / Healthcare

The main responsibilities of a Medical Claims Specialist include:

The Medical Claims Analyst job involves analysis of receivables due from healthcare insurance companies and initiation of necessary follow-up actions to get reimbursed. This will include a combination of voice and non-voice follow-up along with undertaking appropriate denial and appeal management procedures. On-the-job training will be provided. 

To apply for the role, you must have the following:

Qualification:

  • Any Bachelor's Degree in Medical/Healthcare course or similar
  • At least 6 months Healthcare Revenue Cycle
  • Able to write and send appeals
  • Basic knowledge in Medical Billing
  • Excellent verbal and written English communication skills
  • Proficient in Excel/Google Sheets and other MS Office tools
  • Willing to work in US Eastern Time (9PM - 6AM Manila)
  • Amenable to work in Armstrong Corporate Center, Makati