Healthcare Claims Specialist with Strong Analytical Skills
2 days ago
PARKWAY HOSPITALS SINGAPORE PTE. LTD. is seeking a detail-oriented Healthcare Claims Specialist to join our team.
About the RoleThis 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.
- 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
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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