• Provide supports to team in handling the fax claims from the hospital
• Check the information from fax claims documents, and record into the system
• Support team to investigate and make decision for claims in the system, by covering the below actions:

• Approve for the payment base on authorization

• Perform rejection of fax claims received

• Require the additional information

• Issue memo into the system for administration in performing next steps

• Submit for further investigation

• Request the hospital records from hospital

• Continuously monitor and make decision for the pending cases of Claims Hospital Fax , or back log

• Medical Training
• Claim Assessment (Reimbursement and Provider Claims)
• Medical history Review

• Bachelor’s Degree of Nursing, Business of Sciences (Medical Technology), or other related field
• At least 3-5 years experience in Nursing
• At least 2 years experience in Claims function