| Title | Claims Analyst - INDONESIA - Inova Care International |
| Date | 05 Agustus 2022 2022-08-05 |
| Company | Inova Care International |
| City | Jakarta | JK | ID |
| Tipe Kerja | Full Time |
Selamat Datang di Situs Lowongan Kerja Terbaru 2022 dan Saat ini kami ingin memberitahukan Info Terbaru Lowongan Kerja dari Perusahaan Inova Care International dengan posisi Claims Analyst - INDONESIA - Inova Care International yang dibuka saat ini. Jika Loker di Jakarta ini sesuai dengan kualifikasi kamu silahkan langsung mengirimkan lamaran melalui situs loker terbaru kami.
Memang setiap pekerjaan tidak lah mudah untuk di lamar karena harus memenuhi beberapa kualifikasi dan persyaratan yang harus kita penuhi sesuai dengan kriteria standar Perusahaan tersebut yang sedang mencari kandidat potensial untuk dapat bekerja. Semoga informasi lowongan kerja Claims Analyst - INDONESIA - Inova Care International dibawah ini sesuai dengan Kualifikasi anda. Semoga Beruntung :D
Claim Analyst Staff
Qualifications:
Male/ Female
Canates must possess at least Bachelor s Degree in Nursing/ Pharmacy/ Public Health
Minimum 1-year experience as a Claim Analyst in Insurance/ TPApany
Excellent knowledge health insurance policy, health claims procedures and terminology
Excellent knowledge on medical terminologies
Strong analytical and inter-personal skill
Good problem-solving skill
Proficient in Ms. Office
Responsible, ability to work indiually as well as with a team
Good interpersonal,munication, attitude and positive
Responsibilities:
· Make medical necessity and medical appropriateness determinations for health and dental claims.
· Determine benefit liabilities based on medical necessity, benefit level, member eligibility, waiting periods, pre-existing conditions, exclusions and coverage.
· Ensure all claims are properly documented and conform topany’s workflow and documentation requirements.
· Apply proer fee schedule and proer discounts properly to all claims.
· Ensure claims are associated with andply with any prior-authorization or authorization requirement.
· Coordinate with the medical review team for questions regarding medical necessity and medical appropriateness.
· Research and resolve misapplied claim payments or proer reimbursements.
· Ensure claims are properly coded and documented before processing.
· Document and report potentially fraudulent proer and member claims to immediate supervisor or manager.
· Submit all approved and processed claims to finance team for liqation.
· Issue EOB (explanation of benefits) to all members as well as EOP (explanation of proer payments) to allwork proers.
· Complete all daily, weekly, monthly, quarterly and annual management reporting requirements for the scope of responsibilities associated with your position.
· Communication to proers and members for partially denied, iplete or denied claims.
· Ensuring allpany service level standards are met as it relates to claims analysis and examination.
· Other tasks assigned by management in support of thepany’s claims management objectives
Benefits:
- Salary IDR4,900,000
- BPJS Ketenagakerjaan
- BPJS Kesehatan
- Religious Bonus
Job Type: Full-time
Pay: Rp4,000,000 - Rp4,900,000 per month
Cara Mengirimkan Lamaran :
Setelah Membaca dan telah mengetahui kriteria dan kebutuhan minimum kualifikasi yang telah dijelaskan dari info pekerjaan Claims Analyst - INDONESIA - Inova Care International di kantor Jakarta diatas dengan demikian jobseeker yang merasa belum memenuhi persyaratan meliputi pendidikan, umur, dll dan memang merasa berminat dengan lowongan kerja terbaru Claims Analyst - INDONESIA - Inova Care International, pada bulan Aug 2022 diatas, hendaknya secepatnya untuk melengkapi dan menyusun berkas lamaran kerja seperti surat lamaran kerja, CV atau daftar riwayat hidup, FC ijazah dan transkrip dan pelengkap lainnya seperti yang telah dijelaskan diatas, guna mendaftar dan mengikuti seleksi masuk penerimaan pegawai baru diperusahaan yang dimaksud, dikirim melalui link Halaman Selanjutnya di bawah ini.