Daisy
Health Claims Specialist / Data Entry
Verified
With Timeproof
Overview
Looking for full-time work (8 hours/day)
at $7.00/hour ($1,232.00/month)
Bachelors degree
Last Active
February 13th, 2025 (2 days ago)
Member Since
January 28th, 2022
Profile Description
• Responsible for the review, analysis and/or adjudication of claims incurred by eligible members to ensure that they are according to respective benefits plan, policies and standards and maintain the records system for these claims
• Ensures accurate review of claims document like LOA, hospital bills/SOA, concurrent review form, and physician’s report, original OR for use in processing claims.
• Checks on completeness of received claims documents.
• Reviews and match the endorsed document against the actual encoded data in the system Reviews/evaluates claims and adjudicates claims to ensure claims are according to benefits plan, coverage and policies and standards.
• Reviews, evaluates. Checks and/or adjudicates claims against ABC, CQS and utilization and existing company policies and procedures for coverage and effectivity of plan.
Top Skills
Other Skills
Basic Information
- Age
- 36
- Gender
- Female
- Website
- Sign Up with Pro Account to View
- Address
- Makati, Metro Manila
- Tests Taken
- IQ
- Score: 135
- Government ID
- Sign Up with Pro Account to View
“My business would not be able to go forward if it was not for them”
Gaurab - Adhikari
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