Reimbursement Manager

MediCard Phils., Inc.

Claims evaluation and processing
Sla performance monitoring
Medical case assessment
The role involves monitoring reimbursement performance to ensure accurate and efficient check payments to members

Job Summary

  • The role involves monitoring reimbursement performance to ensure accurate and efficient check payments to members.
  • Candidates will evaluate medical cases properly and finalize claims with action or disapproval memos.
  • The position requires formulating strategies to increase and maintain member satisfaction while reporting to the AVP.

Matching Summary

The role involves monitoring reimbursement performance to ensure accurate and efficient check payments to members.

Skills & Requirements

Must-have

  • Claims evaluation and processing
  • SLA performance monitoring
  • Medical case assessment
  • Unpaid bill reconciliation
  • Client concern resolution

Nice-to-have

  • Assertive and dynamic personality
  • Process management skills
  • Customer relations expertise
  • Strategic planning abilities

Key Requirements

  • Graduate of Medicine/Allied Health/Business course
  • At least 5 years work experience
  • Basic computer skills (Microsoft Office)

Work Rights

Not specified

Tailored Resume

Cover Letter