We are seeking dynamic professionals to join our claims team in our corporate managed healthcare business segment. Responsibilities: Claims Management \xe2\x80\x93 Outpatient and Inpatient Medical Claims
Understand and examine the provisions of medical policies to determine the patient\xe2\x80\x99s/member\xe2\x80\x99s level of medical coverage against the terms and conditions of the policy
Be the first point of contact to support patient/member enquiries using telephony, email or chat in relation to initial and/or ongoing medical claims
Provide accurate and efficient assessment of medical claims, validation, pre-authorisation of applications and LOG issuance
Ensure evidence and claims information are documented and maintained in accordance to company compliance policies and SLA
Work with the management team to share claim trends, analyse and interpret data in relation to medical claims and identify areas of improvement in the current medical claims cycle and SOPs
Contribute to ad hoc projects, initiatives, and other activities such as new developments of Medical Claims solutions and processes
Requirements:
Able to commit minimum 3 months period, 5 days a week (Mon to Fri)
Able to commit to either fixed morning and/or fixed afternoon shifts
Experience of claims process for medical claims, preferable in a Third-Party Administrator/Managed Healthcare environment is ideal
Good Organisational skills and exceptional eye for details
Good communication skills and stakeholder management skills
Salary: $13.00 - $15.00 per hour Benefits:
Flexible schedule
Schedule:
Monday to Friday
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