Job Description

Checks and compiles all Insurance claims before submitting them to the respective payers and insurance companies, using coded data to finalize and submit claims to insurance companies.



Manage account balances to discover outstanding debts or inconsistencies Collect all information needed to calculate bills receivable (order amounts, discount rates, etc.) Check data input in the accounting system to ensure accuracy of the final bill Issue invoices and bills, and send them to customers through various channels (mail, email, etc.) Issue customer account statements periodically or whenever necessary Receive payments through various methods (cash, online payments, etc.) and verify credibility Send payment reminders and contact customers when required Update accounting records with new payments, balances, and customer information Answer questions and handle customer complaints regarding bills Finalize bills after verifying with coders Submit bills Maintain discount form filings along with other departments Prepare cash cost estimates Submit bills on DOH as per their requirements For pharmacy claims, check transactions according to TPA/payer, member ID, card validity, coverage, approvals/LPO, insurance plan, refunded transactions, etc. Ensure claims are appropriately dispatched by obtaining acknowledgment slips or verifying with the regulatory post office using the facility license number Prepare required monthly reports upon request Perform any other duties assigned by the HOD within the job scope Comply with all OSH and infection control policies, standards, and procedures Work in accordance with documented OSH procedures and specific responsibilities Be familiar with emergency and evacuation procedures Notify OSH hazards, incidents, near misses, and support in preparing risk assessments and incident reports Comply with waste management procedures and policies Attend applicable OSH/Infection Control training programs, mock drills, and awareness programs Use appropriate personal protective equipment and safety systems

Bachelor of Commerce, Business Administration, or any related degree; paramedical or coding knowledge is an advantage Minimum of two years' experience Knowledge of cash billing procedures Proficiency in using computers and related software applications Experience with MS Office (Word, Excel, PowerPoint) Strong organizational skills * Effective communication and interpersonal skills for interacting with co-workers, supervisors, and customers