Claims Processor

• Evaluates claims receive by checking the completeness of documents, necessity and reasonableness of expenses.
• Encoding and simplification of diagnosis-data entry.
• Conducts routine reconciliation of Outstanding Accounts with Providers to be reported to Provider Relation Department.
• Ensures that all medical claims documents are properly filed and labeled.
• Performs other duties and responsibilities as maybe assigned by the immediate superior

Qualifications:
• Graduate of Bachelors of Science, medical course is a plus.
• Computer literate (Knowledgeable in Microsoft Office,Excel)
• With HMO/Hospital/Clinic work experience is a plus.
• Background in encoding.