Healthcare Claims Specialist with Strong Analytical Skills

2 days ago


Singapore PARKWAY HOSPITALS SINGAPORE PTE. LTD. Full time
Job Summary

PARKWAY HOSPITALS SINGAPORE PTE. LTD. is seeking a detail-oriented Healthcare Claims Specialist to join our team.

About the Role

This is a challenging role that requires strong analytical and problem-solving skills, as well as excellent attention to detail. The successful candidate will be responsible for reviewing and processing healthcare claims, ensuring accuracy and efficiency.

Responsibilities:
  • Claims Processing and Review: Process and review healthcare claims, including pre-authorization requests
  • Claim Verification: Verify claim information for accuracy and identify potential discrepancies or errors
  • Coverage Determination: Determine appropriate coverage and benefits based on policy guidelines and medical necessity
  • Stakeholder Communication: Communicate effectively with healthcare providers, patients, and insurance companies to address inquiries and provide updates
  • Regulatory Compliance: Stay current with insurance regulations and industry trends to ensure compliance
  • Record Keeping: Maintain accurate and organized records and documentation related to claims processing.
Requirements:
  • Diploma/Bachelor's degree in a related field or equivalent experience
  • Minimum 3 years experience in healthcare, insurance, operations or a related field
  • Proficiency in relevant software applications
  • Strong analytical and problem-solving skills
  • Excellent attention to detail
  • Ability to work independently and as part of a team
  • Strong communication and interpersonal skills
  • Proficient in Microsoft Office Application for reports and preparation of presentation slides
  • Confident to engage stakeholders of different levels
  • Team player to support management and reportees
Estimated Salary: SGD 45,000 - 65,000 per annumWhy Join Us?

We offer a competitive salary, opportunities for growth and development, and a dynamic work environment. If you are a motivated and detail-oriented individual who is passionate about delivering excellent results, we encourage you to apply.



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