Area：Metro Manila (NCR) Pasay
Industry Category：Services
Position：Customer Service
Department：
Number Of Recruits：several
Nature Of Work：Full Time
Gender Requirements：Male
Marriage Requirement：No marital status restrictions
Education Level：Open to all levels
Work Experience：No work experience restrictions
Age：Above 18 years old
Salary Package：Negotiable
Job Track Description:
Performs tasks based on established procedures.Uses data organizing and coordination skills to perform business support or technical work.Requires vocational training, certifications, licensures, or equivalent experience.General Profile
Expands skills within an analytical or operational process.Maintains appropriate licenses, training, and certifications.Applies experience and skills to complete assigned work.Works within established procedures and practices.Works with a moderate degree of supervision.Functional Knowledge
Has developed skillset in a range of processes, procedures, and systems.Business Expertise
Understanding of how teams integrate and work best together to support the achievement of company goals.Impact
Impacts a team, by example, through the quality service and information providedFollows standardized procedures and receives moderate supervision and guidance.Leadership
Has no supervisory responsibilities.Manages own workload.Problem Solving
Uses existing procedures to solve standard problems without supervisory approval.Interpersonal Skills
Exchanges information and ideas effectively.Responsibility Statements
Audits payment determination, reconsiderations, and re-reviews on Medical Bill Data.Assists in assigning procedure codes regarding complex issues and comprehensive exam codes.Examines and adjusts lower-level technical bills, including high-level office visits, reports, and record reviews.Analyzes medical reports, test results, and treatment plan to determine proper payment or reimbursement.Maintains reference library of company and industry reimbursement policiesConducts test studies for the compliance team, requiring high-quality results and strict deadlines.Performs other duties as assigned.Complies with all policies and standards.