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EDI Specialist (Healthcare) | Work From Home (Pooling)

Company

Vector Outsourcing Solutions Phils. Inc.

Location

Mandaluyong, Philippines

Type

full time

Salary: PHP 25,000 - PHP 30,000/ month

Job Description:

  • Submitting medical claims to the proper clearinghouse for the insurance payers to review and make the proper decision and payments.
  • Processing & monitoring of all claim reports & electronic documents. (Electronic and Paper Claim Transactions). Logging in and tracking all submission and rejection information.
  • Responsible for obtaining edit reports and repair claims for re submission, test, and ensure repairs are made in a timely manner. Make sure that the claim was sent to the proper clearinghouse.
  • Backup the EDI claim submission and logging of information.
  • Keeps an update of Policy, Regulations and Payer/Clearinghouse changes.
  • Coordinating & testing all Electronic Data Interchange (EDI) implementations with new EDI partners & current clearinghouse.
  • Coordinate and work with clearing houses or trading partners to r...

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