Claims Processor Jobs at Jade Solutions and Management Services Inc. in Angeles, Pampanga
Jade Solutions and Management Services Inc. is currently accepting applications for the position of Claims Processor in the Angeles area. We are actively seeking qualified candidates for this Full-time opportunity.
We are looking for individuals who possess strong skills and have a minimum of beginners/seniors in the field. Along with technical expertise, we highly value qualities such as integrity, discipline, and a strong sense of responsibility in our potential employees.
Jade Solutions and Management Services Inc. operates within the (according to the company) industry. If you are interested in joining our esteemed organization, we encourage you to submit your application without delay.
Job Information
| Company: | Jade Solutions and Management Services Inc. |
| Position: | Claims Processor |
| Region: | Angeles - Pampanga, Pampanga |
| Education: | Confidential |
| Salary: | PHP 17.000 - PHP 18.000 per Month |
| Job Type: | Full-time |
Job Description
Review and analyze healthcare claims for accuracy, completeness, and adherence to contractual agreements and regulatory guidelines.
Verify member eligibility and benefits coverage for submitted claims.
Evaluate medical documentation to assess the appropriateness of services rendered and coding accuracy.
Adjudicate claims accurately and efficiently within established turnaround times.
Identify and investigate potential fraudulent or abusive billing practices.
Communicate claim decisions, payment details, and denials to providers and members effectively.
Collaborate with other departments to resolve claim-related issues and inquiries.
Maintain comprehensive and organized claim records and documentation.
Job Type: Full-time
Pay: Php17,00.00 – Php18,00.00 per month
Schedule:
- 8-hour shift
Supplemental pay types:
- 13th-month salary
Application Requirements
- Relevant formal education
- Work experience in the related industry is a plus
- Ability to adapt and learn quickly
Company address
| Province | Pampanga |
| City | Angeles |
| Full Address | JADE Solutions and Management Services Inc, 1 Filinvest Ave, Alabang, Muntinlupa, 1781 Metro Manila, Philippines |
| Google Map | Google Map |
Job Application Information
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