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Full-time 7 Claims Processor

at Dempsey Resource Management Inc. (Metro Manila)

  • 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


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Published at 13-02-2018
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