Job Description
Job Purpose / Objective:
Process / Monitor Claims for Group of Assigned Companies, Responsible in Processing of the Invoices for Cancellation / Refund
Key Responsibilities / Accountabilities:
- Process and monitor claims for his assigned group of companies.
- collect, check and prepare of all invoices for cancellation / refund
- Coordinate and verify with the Health Service Coordinators, Receptionist, Supervisors and Nursing Staffs in related to the invoice for cancellation refund like wrong payment mode, wrong company code, wrong procedure code, etc.
- Coordinate with the Claim Supervisor for confirmation and verification of the invoices for cancellation and refund.
- Coordinate with the Approval Office in related to all Approvals received from the companies.
- Coordinate the Approvals and distribute to his assigned Claims Processors.
- Prepare the Covering Letters related to his assigned companies.
- Distribution of his assigned group of companies among his claim processors.
- Check on daily/ weekly basis the Outcome of each Claim Processors, the perfection of the claim, the attachment, etc.
- Perform other applicable task and duties assigned within the realm of his/her knowledge, skills and abilities.
Education/ Professional Qualification:
- Bachelor’s Degree/ Diploma
- Any four year course
Experience:
- Minimum two years’ experience in processing of the medical insurance claims
Professional Licensing / Certification / Training:
