National Capital Region Jobs Healthcare Claims Examiner | Manila Position at Ubiquity

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  • Job vacancies posted on: 7 months ago

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As a competent company, we Ubiquity are looking for candidates for the position of healthcare claims examiner | manila with full time work system. We are looking for candidates who uphold honesty and discipline at work, with minimum criteria Bachelor's/College Degree, Post Graduate Diploma/Master's Degree & Professional License (Passed Board/Bar/Professional License Exam), experienced in Healthcare & Practitioner/Medical Asst and domiciled in National Capital Reg and surrounding areas.

Our company offers competitive salary that can be adjusted to how skilled the capability of interested candidates will be, with monthly base salary ₱28,000 - ₱30,000 in accordance with the decisions of our company's HRD.

We are hiring.

We are hiring for Healthcare Claims Examiner to join our Healthcare team. Our Healthcare Claims Examiner is an integral role in the operations of our Manila office. 

The details. 

Day-to-day responsibilities: 

The Analyst will:

1. Code Claims

  • Review medical records, legal documents, and medical reviews
  • Identify clinical and non-clinical causes of a lawsuit from a list of possible choices 
  • Populate the causes in cells on an Excel spread sheet and Monocle (our proprietary AI software)

2. Analysis of the data

  • Determine the loss causes of lawsuits in terms of incidence from the coded claims
  • Calculate the average payment incurred 

Ideal Candidates have: 

  • Nursing/General Medicine Graduates
  • Must have a professional work experience in a clinical setting 
  • BPO experience is not required
  • Excel spreadsheet and computer literacy
  • Must be a detail-oriented individual 
  • Work performed will be in compliance with HIPAA laws. 
  • Must be willing to work on shifting schedules (day, mid, night shift)
  • Must be willing to work in either BGC Taguig or Eastwood City

Office/Company Address

Country Philippines
Region National Capital Region
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Benefit

  • We are A Great Place to Work
  • Competitive Pay
  • Tenured-Linked Benefits

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Company Description

What we do.

Ubiquity delivers business process outsourcing and advisory solutions across customer service, technology, and operations. Focused on transforming the customer experience through data, applied science, and an unprecedented passion for people, Ubiquity offers deep industry and practical expertise across four continents on behalf of 150+ brands and counting.

Company Info

  • Industry: Call Center/IT-Enabled Services/BPO
  • Registration No.: n/a
  • Company Size: More than 5000 Employees
  • Average Processing Time: 14 days
  • Benefits & Others: Dental, Miscellaneous allowance, Medical, Loans, Casual (e.g. T-shirts), Shifting Schedule
  • Specific Location: Eastwood
This vacancy is suitable for those of you who live in the following areas: National Capital Region