Job Details
Experience Needed:
Career Level:
Education Level:
Salary:
Job Categories:
Skills And Tools:
Job Description
- Claims Management - Coordinator or the Document Handling Officer is responsible for tracking of all Direct Claims received from the provider according to the company standards. This role has the overall responsibility to ensure our operational standards are achieved with out most productivity and efficiency.
- Consistently checks and tracks claims received from providers which includes the following responsibilities:
- Checks claim submission for proper completion.
- Ensures that standard format for submission is followed such as general statement of account and detailed statement of account.
- Adheres to initial check if proper application of deductibles and discount is applied and reflected in the invoice.
- Ensures feedback within set specified time for any corrections, missing information, and any standard format not being followed.
- Ensures proper documentation, feedback, and endorsement on the following:
- Missing information on the claim and standard format of submission are not followed for Network Department to contact the providers.
- Claims with incomplete administrative information to be returned to the provider.
Job Requirements
- Bachelor’s Degree.
- Good Command of English Language.
- Night shift basis from 4:00 pm to 12:00 am 5days/ Week
- Friday and Saturday off
- 2+ years management experience within Healthcare Industry (TPA, Insurance Companies, Hospitals, Medical Centers).
- Fluency in MS Office (Excel, Word, Outlook, PowerPoint)
