Medical Claims Specialist (Healthcare)

Responsibilities

• Harmonizing, digitizing, and automating claims workflows across all clinics.
• Managing data related to fee schedules, billing, pricing, and pre-agreed insurance working arrangements.
• Tracking and monitoring the entire claims cycle to ensure accuracy, compliance, and fast turnaround times.
• Executing initiatives that cut out inefficiencies in the healthcare delivery process.
• Acting as a bridge between patients, healthcare providers, and payors (e.g., insurance companies and TPAs) to improve the experience for all parties.
• Generating monthly statistical reports, tracking costs and quality, and benchmarking for management decisions.
• Training internal medical and clinic staff on insurance products and billing processes so they can better assist patients.
• Ensuring that claims submissions comply with both internal guidelines and external regulatory and statutory requirements.
• Requirement
• Min Diploma or higher educational qualification.
• Min 3 years of experience in claims in Healthcare Industry
• To submit your application, please apply online to apply@rn-care.com or call +(65) 6513 5697 for private and confidential discussion.
• Your interest will be treated with the strictest of confidence. We regret that only shortlisted candidates will be notified or contacted.
• RN Care Pte. Ltd
• EA License No: 17C8900

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