Claims Verifier - EPS (Fixed-Term)

The Claims Verifier - EPS is responsible for entering and adjudicating a member's out-patient claims based on received claims documents, provider and health plan contractual agreements, and claims processing guidelines to ensure the proper recording and computation of client/member utilization as well as processing of payment in accordance with the SLAS to our accredited providers (particularly clinics, doctors, and dentists).

Qualifications:

Education:

• Bachelor's degree required, preferably in an Allied Medical Course

Experience (Preferred):

• 1 to 2 years of working experience in a healthcare setting, particularly in claims processing or a related role.

Work Style:

• Diligent, organized, and highly detail oriented.
• Flexible, proactive, and demonstrates sound judgment.
• Thrives in both independent and collaborative work environments.

Skills:

• Strong analytical, decision-making, comprehension, and problem-solving skills.
• Excellent verbal and written communication skills.
• Proficient in Microsoft Office Suite or similar software programs.
• Possesses knowledge of medical terminologies, illnesses, and coding systems.
• Strong ability to manage multiple tasks and meet deadlines efficiently.

Apply through our career page and enjoy the hiring process at the comfort of your home!
For more info about our company and other list of openings, kindly check our website at www.intellicare.com.ph or visit our Facebook careers page at www.facebook.com/careersintellicare.

Job Type: Fixed term

Application Question(s):

• Are you currently residing at Calamba City or other neighboring cities?
• How many years of relevant work experience do you have?
• How much is your expected salary for the position?
• Are you a graduate of any Allied Medical course?

Education:

• Bachelor's (Required)

Work Location: In person