Health Claims Officer - Medical Insurance Processing Specialist

Pamadya Analytica Technology is seeking a Health Claims Officer to join our team in Karawaci, Banten. In this crucial role, you will be responsible for ensuring the smooth, accurate, and timely processing of medical insurance claims. You will work closely with a talented team to deliver exceptional service and maintain high standards of quality.

As a Health Claims Officer, you will handle a variety of tasks, including reviewing and processing insurance claims, verifying patient information, and ensuring compliance with insurance policies and regulations. You will use tools like ClaimWorks and Microsoft Office Suite to streamline your workflow and improve efficiency.

This is an exciting opportunity to grow within a forward-thinking company. With a competitive salary of Rp 6,000,000 - Rp 10,000,000 per bulan, you will have the chance to develop your skills and advance your career.

📋 Tanggung Jawab Pekerjaan

• Review and process medical insurance claims accurately and efficiently.
• Verify patient information and ensure compliance with insurance policies and regulations.
• Collaborate with healthcare providers to resolve any discrepancies in claims.
• Use ClaimWorks and Microsoft Office Suite to manage and track claims.
• Provide excellent customer service to patients and healthcare providers.
• Stay updated on industry trends and best practices in medical insurance processing.
• Participate in team meetings and contribute to continuous improvement initiatives.
• Maintain high standards of accuracy and confidentiality in all aspects of the job.

🎓 Kualifikasi & Syarat

• Bachelor's degree in Health Administration, Business Administration, or a related field.
• Minimum of 3 years of experience in medical insurance processing or a related field.
• Familiarity with ClaimWorks and Microsoft Office Suite.
• Strong knowledge of insurance policies and regulations.
• Excellent communication and interpersonal skills.
• Ability to work well under pressure and meet tight deadlines.
• Professional and confidential attitude.
• Certification in medical insurance processing or a related field is a plus.

🛠️ Keahlian

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