Claims Processing Executive

As part of the Tech Enabled Services (TES) Team of Kavi Philippines, the Claims Processing Executive contacts patients, employees, attorney representatives, and other responsible parties to gather information related to collecting payments for complex claims.

Responsibilities

• Contact end patients and their employers and attorney representatives in the US to gather information to complete the claim.
• Analyze and evaluate complex claims payments using end Client's proprietary software, systems and tools
• Use payment documentation provided by payers to determine if the medical provider has been reimbursed and perform accurate and timely data entry.
• Conduct timely and thorough telephone follow-up with payers and other responsible parties to ensure claims with supporting documentation have been received and facilitate prompt reimbursement.
• Prepare correct complex claim initial bill packet or appeal letter using the end Client...