Area：Metro Manila (NCR) Pasay
Industry Category：Healthcare
Position：Practitioner / Medical Asst
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
Has advanced, specialized expertise within a range of analytical or operational processes.Completes assignments and facilitates the work of others.May coordinate assignments beyond work area.Proposes improvements to processes and methods.Acts as a lead, coordinating the work of others, but is not a supervisor.Works autonomously within established procedures.Functional Knowledge
Has developed skills in a range of processes, procedures, and systems.Acts as a technical expert in some areas.Business Expertise
Understanding of how best teams integrate and work together to support the achievement of company goals.Impact
Impacts a team, by example, through the quality service and information provided.Suggests improvements to work procedures and practices to improve efficiency.Leadership
Serves as a team lead.May allocate work to team members.Provides subject matter guidance to junior team members.Problem Solving
Provides solutions to atypical problems with little or no precedent.Interpersonal Skills
Exchanges information and ideas effectively.Uses tact and diplomacy when dealing with others.Responsibility Statements
Applies expertise in technical areas when reviewing medical bills such ashigh-level office visits, consultations, surgery, appeals, probate, and legal fees.
Establishes appropriate final reimbursement outcomes by distinguishing between Fee Schedule reduction, PPO reduction, Usual and Customary reduction, or Medicare reduction.Communicates and upholds the basis for the methodology used to accomplish the reduction of charges.Analyzes and reviews high-level office visits, reports, and record reviews.Interprets hospital review guidelines for both inpatient and outpatient claims.Conducts test studies for the compliance team, requiring high-quality results and strict deadlines.Guides team in training and individual support for new hires.Performs other duties as assigned.Complies with all policies and standards.