fbpx
search

Medical Benefits Specialist

Description:

  • Action pre-approval transactions from contracted medical providers in line with agreed operating procedures and service level agreements
  • Use medical training, knowledge and departmental guidelines to ensure accurate assessment of pre-approvals
  • Ensure consistent application and review of treatment plans to ensure cover in line with contracted pricing
  • Complete system and written administration in line with adult requirements and ensure approvals are documented in correct detail to support smooth claims administration.



Requirements:

Qualification:

*Applicants must be willing to work and relocate to Clark, Pampanga

*Applicants must be a Filipino citizen or have a relevant residence status

*Bachelor’s Degree in Nursing, local license in Nursing is an advantage

*Minimum of 1 year pre-approval experience in a medical insurance company or

4 years medical claims experience in a medical insurance company

*Proficiency in Microsoft Word, Excel, and Outlook required.

*Proficiency in written and spoken English.

*Must have good knowledge in medical terminologies.

*Must be keen to detail and problem solving skills.

*Must be willing to work on shifting schedule.

*Must be willing to work on holidays and weekends.

Salary: ₱45000 - ₱50000
Address: Philexcel Business Park Clark, Pampanga, Philippines 2023