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amida Macalimbon, Medical Claims Specialist

amida Macalimbon

Medical Claims Specialist·UNITED DOCTORS HOSPITAL

Saudi Arabia

Doctorate, DOCTOR OF MEDICINE

Work experience

Total years of experience: 14 years, 1 months

Medical Claims Specialist

May 2012 - Present

UNITED DOCTORS HOSPITAL

Jeddah, Saudi Arabia

May 2012 - Present

- Skilled reimbursement specialists or claims examiners by examining health insurance claims to assess whether the provider or the claim holder must pay for medical services that the claim holder received
- Also answers questions about insurance coverage w/ firm grasp of the insurance policies specific to an individual provider to properly assess whether the insurance company must reimburse the provider for treatment to a patient
- Expert and well experienced on correcting and editing insurance claim forms, reviewing payments records, completing insurance claim forms, responding to questions from physicians, insurance companies, patients and government representatives and reviewing bills, charges and other data for accuracy.

Company industry:
Other Healthcare Services
Job role:
Medical, Healthcare, and Nursing

Education

MINDANAO STATE UNIVERSITY- COLLEGE OF MEDICINE

April 2007

April 2007

Doctorate, DOCTOR OF MEDICINE

Philippines

POST GRADUATE INTERNSHIP AT MINDANAO SANITARIUM AND HOSPITAL, ILIGAN CITY

Bayt.com tests

IQ Test

Administrative and Support Service

Skills

Claims Resolution
Expert
Claims Resolution
Expert
Claims Management
Expert
Claims Management
Expert
Health Insurance
Expert
Health Insurance
Expert
Policy Review
Expert
Policy Review
Expert
Insurance Claims
Expert
Insurance Claims
Expert
attentiveness to detail, accuracy and possessing excellent organization skills
Expert
attentiveness to detail, accuracy and possessing excellent organization skills
Expert
Claims Resolution
Expert
Claims Resolution
Expert
Claims Management
Expert
Claims Management
Expert
Health Insurance
Expert
Health Insurance
Expert
Policy Review
Expert
Policy Review
Expert
Insurance Claims
Expert
Insurance Claims
Expert

Languages

English

Expert

Memberships

PHILIPPINE MEDICAL ASSOCIATION

MEMBER

March 2010

Hobbies and interests

READING

ABLE TO SHARE WHAT I READ TO OTHERS