Emergency Nurse/ Nurse
dnata
PampangaFound 3 days agoIndeed
Setup
On-site
Type
Full-time
Level
Mid-level
Salary
PHP 30k–35k/mo
Closes
Open
Skills mentioned
PHPNursingAllied HealthInsurance
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About the role
Emergency Nurse/ Nurse - Medical Benefits dnata
·
3.4
Pampanga
PHP 30,000 - PHP 35,000 a month
-
Full-time
Here’s how the job details align with your profile.
PHP 30,000 - PHP 35,000 a month
Full-time
- Full job description
- Job Title: Medical Claims Processor
Minimum requirements
- Applicants must be willing to work and relocate to Clark, Pampanga.
- Applicants must be a Filipino citizen or have a relevant residence status.
- With Bachelors Degree in Nursing or Midwifery.
- Registered Nurse/Midwife/Dental Nurse
- Minimum of 2 years hospital experience as Staff Midwife, Staff Nurse or Dental Nurse
Key Responsibilities and Accountabilities
- The job holder’s primary task will be to process e-claims received from external medical service providers. This involves:
- Accurate claims adjudication as per policy terms and conditions.
- Accurate claims adjudication as per agreed business SOP and within agreed SLA’s.
- Review and evaluation of medical costs and service line items.
- Review and evaluation of medical codes, supporting documents and observations to
- determine medical appropriateness.
- Correct escalation of claims as per agreed SOP.
- Batch reconciliation and closing.
The job holder will also be responsible for supporting the team leader with the following tasks, as required:
- Consolidating claims findings for feedback to EGHQ.
- Claims reporting and utilisation trend analysis.
- Adherence to agreed SOP and claims SLA’s.
- New joiner support and buddy training.
- Job Type: Full-time
- Pay: Php30,000.00 - Php35,000.00 per month
Benefits
- Additional leave
- Company events
- Employee discount
- Free parking
- Health insurance
- Life insurance
- On-site parking
- Opportunities for promotion
- Paid training
- Pay raise
- Promotion to permanent employee
- Transportation service provided
- Work Location: In person
- Company and salary information
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- Review for Emergency Medical Technician at dnata, P03
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