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[Expired] Regional Claims Specialist (Healthcare Exp Welcome) (Up to 3.5K) (Town) (MNC)

Achieve Career Consultant Pte Ltd
Posted On :4 Sep 2013

 

Job Summary

  • Salary:   Undisclosed
  • Work Type: Permanent / Full Time
  • Min. Education Level: Diploma
  • Field of Study: Not Applicable
  • Years of Experience: 2
  • Skills: Claims

Job Descriptions

  • Medical Services MNC
  • Town
  • Salary up to $3500 per month

 

Our client, a multinational corporation providing medical & security services & products to international organisations. 

 

 

Responsibilities

  • Support the claims process for the Integrated Healthcare Delivery Overseas Program, focusing on ensuring claims submitted are duly reimbursed for Asia Pacific
  • Work within Provider Support Services Team and interact with a number of cross-functional teams, and the TOP Claims Processing Subcontractor (WPS)
  • Responsible for the reconciliation of payment received from WPS and escalate any abnormalities to the PSS Manager
  • Ensure that claims submitted to WPS are processed in a timely and accurate way, to meet both external and internal KPIs
  • Track, trend, categorise and report on all claims related matters
  • Work with the Provider Support Service Network team to identify where necessary specific providers plus investigate and report on their issues
  • Point of contact for leading resolution of claims related complaints
  • Carry out administrative function such as monitoring of Billing and Claims mailbox on rotational basis

 

Requirements:

  • Possess a Degree / Diploma with at least 2 years of Claims experience, preferably from health insurance industry
  • Possess knowledge of CPT (HCPCS) and ICD-9-CM or ICD-10-CM coding across a variety of specialties, with knowledge of NCCI edits or AMA CPT coding guidelines
  • Possess experience in filing and following up with medical claims appeals
  • Possess experience in data analysis and presentation
  • Medical Coding Certificate, including CS, CCS-P, CPC or other medical coding credential is highly advantageous
  • Prior experience working within a matrix organization is highly advantageous
  • Strong customer service skills and commitment to quality
  • Ability to break down and explain complex processes clearly and concisely, both in written and oral communications
  • Ability to interface with multiple users across the organization
  • Proficient in IT skills
  • Strong communications and interpersonal skills
  • Fluency in Japanese / Korean language is highly advantageous
  • Open to Singaporean / Singapore PR only

 

HOW TO APPLY:

You may submit your application by emailing a detailed copy of your updated resume in MS Word format with a photo attached to blessing10@achievegroup.asia.

We regret only short listed candidate will be notified. All applications will be treated with the strictest confidence.

For more job listings, please visit http://achievegroup.asia/sg/jobseekers.

 

MOM License No. 05C3451

Personnel Registration No: R1105076



About This Company

Established in 1990, the Achieve Group is a multi award-winning organization and HR outsourcing partner-of-choice for local conglomerates and multinational corporations within the Asia Pacific region.  Specializing in Talent Acquisition comprising General Recruitment, Technology Recruitment and Executive Search Division, as well as HR Consulting.

 

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