Outpatient Web Liquidator

Description

Job Summary: A professional responsible for reviewing, analyzing, and processing outpatient reimbursement and bonus requests to perform corresponding liquidations, in accordance with the Isapre’s parameters and current legal regulations. Key Responsibilities: 1. Review and interpret clinical and administrative documentation 2. Analyze and refer cases to outpatient audit 3. Process requests efficiently and accurately **Job Description** ---------------------- At Banmédica Health Insurance \- Vida Tres, we are seeking our next Outpatient Liquidator. A professional responsible for reviewing, analyzing, and processing outpatient reimbursement and bonus requests, with the objective of performing corresponding liquidations—all in accordance with parameters defined by the Isapre and current legal regulations. Main responsibilities include: * Review and interpret clinical and administrative documentation (invoices, medical orders, examinations, service detail, etc.). * Verify that data submitted by affiliates are accurate, complete, and meet established requirements. * Enter data into the Isapre’s systems to process reimbursements or issue bonuses. * Analyze and refer cases to outpatient audit where applicable. * Process requests efficiently and accurately. **Candidate Requirements** -------------------------- * Experience in health benefit liquidation, preferably within an Isapre (desirable) * Experience in administrative areas of clinics, Isapres, health centers, or related fields * Basic/intermediate Excel proficiency This opportunity is open to persons with disabilities. **Selection Process** ------------------------ The selection process is conducted via Aira \- a recruitment platform designed to enhance your application experience. To apply, you only need to: 1\. Apply to this position 2\. Check your email 3\. Log in to Aira and answer the requested questions and/or tests Then, if your profile matches our requirements, we will contact you by email (via Aira) to proceed to the in-person stage. **About Us** ------------------ We are a health insurance company belonging to one of the country’s leading insurance and pension groups—and one of Latin America’s most important: the Banmédica Group of Companies, comprising state-of-the-art clinics, specialized laboratories, cutting-edge medical centers, Isapres, and medical rescue units. We have established ourselves as the industry-leading and one of the most stable Isapres. Additionally, we offer a broad range of health plans, supplementary benefits, and services—designed to deliver tailored solutions for our customers’ diverse needs.