2021 Healthcare Claims Specialist

Taguig

Opportunity Expired

We can bring out the best of your skills to work in a setting that is geared to helping improve lives and enhance health care for millions.

Opportunity details

Opportunity Type

Graduate Job

Number of Vacancies

1-100

Start Date

ASAP

Applications Open

15 Oct 2021

Applications Close

Accepting International Applications

No

Qualifications Accepted

M

Audiology

Biomedical Science

Chiropractic & Osteopathy

Exercise & Sports Science

Health Administration

General Practice

Medical Administration

Obstetrics & Gynaecology

Occupational & Environmental Medicine

Ophthalmology

Paediatrics & Child Health

Palliative Medicine

Pathology

Public Health Medicine

Radiation Oncology

Radiology

Surgery

Naturopathy, Acupuncture & Complementary Medicine

The Healthcare Claims Specialist will provide claims expertise support by reviewing, researching, investigating, negotiating and resolving all types of claims as well as recovery and resolutions for health plans, commercial customers, and government entities.
They analyze and identify trends, and ensure compliance to US state and federal policies, reimbursement and contracts.

Qualifications:

• 3 to 5 experience in processing Health and Medical Claims, Fraud and Abuse Investigation (or)
• Claims Auditing with Medical Coding (Certified) Experience OR Insurance claims experience
• Experience working with subrogation
• Experience with negotiations
• Experience working in the health care industry
• Experience with claims processing, insurance billing practices

What We Offer:

• Market Competitive Pay Levels
• Retirement Plan
• Annual Performance-Based Merit Increases
• Medical Plan (HMO)
• Dental, Medical and Optical Reimbursements
• Life and Disability Insurance
• Tuition Reimbursement
• Sick Leave Conversion
• Employee Assistance Program (EAP)
• Recognition
• Training and Staff Development
• Employee Referral Program
• Employee Volunteerism Opportunity

Your role is critical in allowing our members, families, facilities and health professionals to have greater confidence in the exceptional care we provide. And for you, an everyday opportunity to do your life's best work. SM

Hiring criteria

You should have or be completing the following to apply for this opportunity.

The opportunity is available to applicants in any of the following categories.