Reconciliation Supervisor - Quezon City - ref. f60368415
Inlife Health Care Quezon City Full-time
I. Job Summary
The Provider Payment Management Supervisor (Reconciliation Supervisor) is responsible for overseeing the end-to-end process of the claim’s reconciliation submitted by the accredited providers. Ensure active status of all accredited providers and be able to secure Certificate of Good Credit Standing 2x a year.Oversee the functions of PPM Specialists.
II. Duties and Responsibilities- Responds to queries from the accredited providers received through email
- Provides updates every 3 days to the provider regarding claims status
- Distributes reconciliation list to PPM Specialists
- Monitor and ensure daily updating of the PPM tracker
- Maintains reconciliation records, files, and documents and makes it readily available for
- future retrieval.
- Recommend and coordinate with PPM Head in formulating guidelines, policies and system enhancement, process improvement.
- Evaluates and submits performance evaluation of the team.
- Perform other tasks/duties to be assigned by the immediate superior from time to time
- Enhancements and process improvements to improve the claims operations.
Qualifications:
- Accounting Graduate
- Minimum 3 years of experience in related field
- Skills knowledge
- Strong analytical skills
- Highly developed verbal and written communication skills
- Ability to analyze and interpret complex documents.
- With high attention to details
- Proficient in computer skills
- Excellent organization and interpersonal skills
- Strong customer service skills and a high level of professionalism
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