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Job Opportunity: Claims Examiner | Manila:Ubiquity Global Services, Inc.

Job description:

Claims Examiner | Manila

   » Full-time
   » Manila
   » Posted on February 22, 2021
   »Save Job favorite_border
We’re Hiring.

We are hiring for Customer Service Representatives to join our Healthcare team. Our Customer Service Representatives is an integral function in the operations of our Manila office.

The details.

Day-to-day Job responsibilities:
   » Analyze, research, and process and/or adjust claims with accurate use of procedures and ICD- 9/10 codes under respective provider and member benefits located on:
– Contractual agreement
– Health Plan division of financial responsibility
– Applicable regulatory legislature
– Claims processing guidelines
– Client group's and company's policies and procedures
   » Review and process facility (UB-04) and professional (CMS-1500) claims.
   » Process Medicare member claims located on DMHC and DHS regulatory legislature
   » Respond and resolve providers' and health plans' inquires in a timely manner
   » Review services for appropriate charges and apply authorization
   » Monitor aging claims with reports to maintain timeliness
   » Maintain quality and productivity standards
   » Participate in special projects
   » Works closely with manager and reports any issues

Ideal Candidates must have:
   » Bachelor's degree in related field or AA degree with related practice
   » Must have at least 3 years of applicable healthcare claims adjudication practice within a managed care industry
   » Must be familiar with ICD-9/10, HCPCS, CPT coding, APC, ASC, and DRG pricing.
   » Must be familiar with facility and professional claim billing practices.
   » Must have good written and communication skills.
   » Must be able to follow guidelines, multi-task, and work comfortably within a team-oriented environment.
   » Computer literacy required, including proficient use of Microsoft Word, Excel, Outlook, and EZ-CAP. Crystal Report is a plus.
   » Typing skills of at least 40 wpm.

income: ?30000 - ?35000
Address: 2/F 1800 Building, Eastwood City, Cyberpark, Bagumbayan, Quezon City Metro Manila

Application Process:

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Ubiquity Global Services, Inc. Ubiquity Global Services is a BPO firm that offers its users with live support; correspondence services; and voice response solutions.

Ubiquity delivers business process outsourcing and advisory solutions across customer service, technology and operations. Focused on transforming the customer practice through data, applied science and an unprecedented passion for people, Ubiquity offers deep industry and practical skills across four continents on behalf of 140 brands and counting.

We're in the Business of Helping Your Business
We provide next-generation outsourcing solutions focused on transforming the customer practice and building processes that drive loyalty for your brand.

We're reinventing customer practice
In today's competitive business landscape, customer practice is the driving force behind virtually every aspect of a company's operations. And, with 89% of companies competing primarily on the basis of CX, Information technology makes sense that business leaders are looking for dedicated partners to help augment and enhance their offerings. Our approach to customer practice is unique. Unlike any other BPO, our teams are engaged, talented and equipped with some of the most innovative technology in the outsourcing industry.

Join us
We want you.
We're committed to creating an inclusive employee practice for all. Regardless of race, gender, religion, sexual orientation, age, or discapability, we believe that we're at our best when everyone feels free to be their most authentic self.

We're made of something different.
We act with empathy and urgency. We treat our clients, colleagues, and community like members of the family. We have grit, tenacity, and perseverance, and a proven track record of meeting and exceeding goals - every person, in every function, for our company and our clients.

Our PH located locations:

Manila - BGC
Bench Building, 10th Floor
Rizal Drive & 30th Street
Bonifacio Global City, Metro Manila

Manila - MOA
16th Floor Five E-com Center
Pacific Drive, SM Mall of Asia Complex,
Pasay City, Metro Manila

2F Negros First CyberCentre
Corner of Lacson Street & Hernaez Street
Bacolod City 6100


Job Category: Other [ View All Other Jobs ]
Language requirements:
Employment type:
Salary: Unspecified
Degree: Unspecified
Experience (year): Unspecified
Job Location: Manila Other
Address: Manila
Company Type Employer
Post Date: 02/23/2021 / Viewed 7 times
Contact Information
Company: Ubiquity Global Services, Inc.

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