Deskripsi Pekerjaan
Join Compumed Services as a Claims Executive/Assistant and become a vital part of our healthcare administration team. In this dynamic role, you'll be responsible for meticulously processing and adjudicating claims across admission, outpatient, and major claim categories. You'll compile and verify supporting documentation while ensuring compliance with regulatory standards and company policies. This position offers an excellent opportunity to develop expertise in healthcare claims management while contributing to efficient patient care services. Our collaborative environment encourages professional growth and provides exposure to diverse claim scenarios. If you possess strong analytical skills and attention to detail, this role will allow you to make a tangible impact in healthcare administration while advancing your career in a reputable organization.
Tanggung Jawab
- Review and adjudicate claims for admission, outpatient, and major medical services
- Compile and verify supporting documentation for accurate claim processing
- Ensure compliance with insurance regulations and company policies
- Communicate effectively with claimants, healthcare providers, and internal stakeholders
- Maintain accurate records of claims processing and documentation
- Investigate and resolve discrepancies in submitted claims
- Assist in developing and optimizing claims processing procedures
Kualifikasi
- Bachelor's degree in Business Administration, Healthcare Management, or related field
- Minimum 1-2 years of experience in claims processing or healthcare administration
- Strong attention to detail with excellent documentation verification skills
- Proficiency in Microsoft Office Suite and claims management software
- Excellent communication and interpersonal abilities
- Knowledge of insurance regulations and claim procedures
- Ability to work independently and collaboratively in a team environment