Vacancy Description
Job Summary
Make a difference and advance your career with Chong Hua Hospital, the Philippines’ premier healthcare destination!
Chong Hua Hospital is looking to hire an experienced and highly motivated Medical Claims Specialist who is mainly responsible for reviewing and analyzing referred charts of discharged patients that may acquire attention and technical in nature. S/he also assesses any denied claims caused by inconsistent data and non‑compliance with standard of care. S/he determines whether the denied claims are for appeal, thus prepares an appeal letter. Moreover, s/he prepares preliminary assessment of the patient’s chart pertaining to PhilHealth Insurance Corporation request for a verified letter.
S/he closely coordinates with the Medical Team for resolution of problematic charts. S/he serves as a medical representative that supports and provides clarification to the Philhealthand Quality Records team in relation to reading charts and ...
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