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7 Claims Processor

Company:
Dempsey Resource Management Inc.
Location:
Philippines
Posted:
February 15, 2018
Description:

* Process hospital bills including outpatient and in-patient professional fees based on the PF

rates as agreed upon by Phil. College of Physician’s, Phil. College of Surgeon and AHMOPI.

- Verify membership status of patient/member (includes payment, effectivity of membership, waiver

for medical benefit, 12 PE, card

- Degree in health/medical related field

- With Medical Background

- With at least 1year experience in Claims processing

- Can read medical diagnosis

- Computer Literate (MS WORD)

* expiry, reached max, EHB)

* Encode all medical records of patient using ICD 10

- Compute disallowed/excess

- Degree in health/medical related field

- With Medical Background

- With at least 1year experience in Claims processing

- Can read medical diagnosis

- Computer Literate (MS WORD)

* Hospital charges, incremental charges, checks PHIC equivalent

* Make letter to hospital for deductions made

EDUCATION/QUALIFICATIONs

-Degree in health/medical related field

-With Medical Background

-Can read medical diagnosis

SKILL QUALIFICATION

- Computer Literate (MS WORD)

- With at least 1year experience in Claims processing.

Mr. Mick Ilagan

HR sourcing associate

Dempsey Resource Management Inc.

3523115/ 09152813887