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Intellicare, Claims Reimbursement Assistant jobs in Makati

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    • Assists members in filing claims for reimbursement.
    • This job is responsible for the accurate implementation of Member's Healthcare benefit policy and focusing…
    • View all LIFT OFF CONSULTING INC jobs - Makati jobs - Healthcare Assistant jobs in Makati
    • Salary Search: Healthcare Assistant (HMO Staff) salaries in Makati
    • Assists members in filing claims for reimbursement.
    • Experience in HMO or Healthcare Customer Service.
    • This job is responsible for the accurate implementation of…
    • Billing Analyst supports the financial operations of the department and helps maintain the organization's financial health.
    • Graduate of any business course.
    • Review and validate reimbursement claims based on members' benefits, coverage, benefit limits, and reimbursement guidelines.
    • With work experience in BIR,ROD or DENR or in the fields of community relations, customer care, real estate or sales.
    • Working knowledge of cost estimation.
    • Processing of claims and reimbursements to all government agencies.
    • Collection of attendance every cut-off.
    • Processing of terminal pay of separated employees.
    • At least 3 year of experience in accounts payable or a similar role.
    • Bachelor's degree in Accounting, Finance, or a related field.
    • PRC license or other professional health certification (Required).
    • Coordinate life and accident insurance documentation and facilitate claims.
    • Contact Centre Executive* receives inbound call / emails from Corporate Clients with regards to their Company Medical Benefit.
    • Job Types: Full-time, Permanent.
    • Liaise with A/P and Finance to troubleshoot rejected claims or delayed payments, ensuring timely resolution with minimal direction.
    • Liaises with different government agencies in filing for claims and other needed reports; provides updates and/or coordinates with HRO Associate/ Unit HR as…
    • Coordinate with internal departments such as underwriting and claims for payment disputes or adjustments.
    • Alabang: Reliably commute or planning to relocate…
    • Assist in compiling and submitting complete documentation for ADP claims and asset-related reimbursements.
    • Coordinate replenishment or retrieval of materials in…
    • Assist employees with benefit claims, loans, reimbursements, and government transactions.
    • Perform other HR, administrative, and related tasks as assigned by the…
    • The role supports accounts payable and receivable transaction processing, reviews employee reimbursement claims, and provides administrative support to core…

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Job Post Details

Healthcare Assistant (HMO Staff) - job post

LIFT OFF CONSULTING INC
Makati
PHP 18,000 - PHP 20,000 a month

Job details

Pay

  • PHP 18,000 - PHP 20,000 a month

Job type

  • Full-time

Location

Makati

Full job description

Job Purpose

This job is responsible for the accurate implementation of Member's Healthcare benefit policy and focusing on utilization management and the delivery of superior customer service at all times

Duties and Responsibilities

1. Customer Experience

  • Handles queries/concerns received from walk-in members and through phone and documents accordingly thru designed tracker.
  • Issues printed/soft copy of Letter of Authority (LOA) for the corresponding types of availments ( consultation/procedures)
  • Facilitates addition/cancellation of membership as endorsed by HR
  • Facilitates release of ID cards to members
  • Assists members in filing claims for reimbursement
  • Encourages members feedback thru CSAT survey and resolve complaints/concerns otherwise escalate to superior for pressing issues
  • Provides VIP assistance if deemed necessary.

2. Utilization Management

  • Approves all availments up to P50,000
  • Strictly monitors all OP availments if within member’s benefit limit

3. Report Generation

  • EOD/WFH Summary
  • Complaints Tracker
  • Availment Concern Tracker

4. Others

  • On-time submission of Daily Time Record
  • Performs other tasks as may be assigned from time to time

Job Type: Full-time

Pay: Php18,000.00 - Php20,000.00 per month

Ability to commute/relocate:

  • Makati: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

  • What is your expected monthly salary?
  • Are you a 4-year college course graduate?
  • Are you amenable to a Monday-Friday 9am - 5pm schedule?

Experience:

  • HMO/Insurance: 1 year (Preferred)
  • LOA Issuance: 1 year (Required)
  • Claims (HMO/Medical/Insurance): 1 year (Preferred)

Work Location: In person

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