Medical Claims Specialist

5 days ago


Singapore SINGAPORE BREAST SURGERY CENTER PTE. LTD. Full time
Job Summary:
Singapore Breast Surgery Center PTE. LTD. is seeking a skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for managing medical claims in accordance with policy terms and conditions.

About the Role:
This is an exciting opportunity for a detail-oriented individual to work in a fast-paced environment. You will be handling medical claims from submission to resolution, ensuring timely processing and accurate adjudication. Your responsibilities will include following up on queries, providing end-to-end support, collecting information and documents, and liaising with doctors and clinics. Additionally, you will be supporting patients, clinics, and front office staff in day-to-day insurance claims matters.

Key Responsibilities:
  • Process and manage medical claims from submission to resolution.
  • Follow up on queries and provide end-to-end support in processing medical claim submissions, including reimbursements.
  • Provide accurate adjudication of claims, pre-authorization, and issuance to meet operational targets.
  • Collect accurate information and documents to proceed with the claim process.
  • Liaise with doctors and clinics for facility bill size estimations.
  • Follow up with patients and insurers for outstanding hospital bills.
  • Support patients, clinics, and front office staff in day-to-day insurance claims matters.
  • Maintain accurate case records and all related communication.

Requirements:
To be successful in this role, you should have a diploma or degree in Healthcare, Insurance, or a related field. You should also have experience in the healthcare or insurance industry, preferably as a claims administrator. Key skills and qualifications include attention to detail, ability to work in a fast-paced environment, and proficiency in Microsoft Office applications.

Salary:
The estimated salary for this position is SGD 45,000 - SGD 60,000 per annum, depending on experience. Singapore Breast Surgery Center PTE. LTD. offers a comprehensive benefits package, including medical insurance, annual leave, and training opportunities. If you are a motivated and organized individual looking for a new challenge, please submit your application.

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