Claims Non-Voice Specialist
2 weeks ago
Job Description:
The Claims Non-Voice Specialist is responsible for ensuring the effective and efficient delivery of best customer experience in assisting member OP availment via non-voice request by following the benefit plan and supporting the cost management initiatives which will contribute to client retention.
Job Qualifications:
Graduate of any Bachelor’s degree, preferably an Allied Medical CoursePreferably with or without comparable work experience as a Customer Service Specialist in an HMO setting or hospital setting;Willing to work on shifting schedule.Job Competencies:
Diligent and organized; Ability to exercise flexibility, initiative and good judgment; Ability to work well independently as well as part of a teamCommitted to delivering a high standard of customer service & responsive to customers’ needs.Strong verbal and written communication skillsProficient data entry and typing skillsApply through our career page and enjoy the hiring process at the comfort of your home
For more info about our company and other list of openings, kindly check our website at www.intellicare.com.ph or visit our Facebook careers page at www.facebook.com/careersintellicare.
-
Claims Non-Voice Specialist
2 weeks ago
Manila, National Capital Region, Philippines Asalus Corporation (IntelliCare) Full timeJob Description:The Claims Non-Voice Specialist is responsible for ensuring the effective and efficient delivery of best customer experience in assisting member OP availment via non-voice request by following the benefit plan and supporting the cost management initiatives which will contribute to client retention.Job Qualifications:Graduate of any Bachelor's...
-
Fraud and Claims Representative
1 week ago
Metro Manila, Philippines Wells Fargo Philippines Full timeIn this role, you will:Support and capture all pertinent information from customers about their claimsConduct research and provide updates on status of new and existing claimsIdentify opportunities to improve customer experience after thorough research of complex account activity, and take appropriate actions to handle the claimPerform routine customer...
-
Head of Claims Administration
3 weeks ago
Manila, National Capital Region, Philippines Simpletpa Full timeAs the Head of Claims and Customer Service (CS) for Discover ASO Corp. aka SIMPLeTPA, he/she is primarily responsible to assure claims are managed within the specific plan guidelines and charges for claims services are reasonable and customary. In order to perform this role in an efficient manner, the Head of Claims and Customer services will be integral...
-
Claims Team Head
3 weeks ago
Manila, National Capital Region, Philippines BDO Unibank Full timeHe/She/They will be responsible for overseeing the claims processing, and operational activities of assigned section. Ensures efficient claims processing of assigned accounts through equitable settlement of claims filed at the soonest possible time based on insurance policy coverage and conditions. Assists the Team Head and/or Unit Head in developing...
-
Billing Representative
1 week ago
Metro Manila, Philippines Tenet Global Business Center, Inc. Full timeJob Description:Responsible for processing accounts and working with designated payors to ensure proper reimbursement.Responsible for all aspects of follow-up and collections, including making telephone calls, and accessing payer websites. Identify issues or trending and provide suggestions for resolution. Accurately and thoroughly documents the pertinent...
-
Fraud and Claims Representative
1 week ago
Manila, National Capital Region, Philippines Wells Fargo Philippines Full timeIn this role, you will:Support and capture all pertinent information from customers about their claimsConduct research and provide updates on status of new and existing claimsIdentify opportunities to improve customer experience after thorough research of complex account activity, and take appropriate actions to handle the claimPerform routine customer...
-
Micro HMO Claims Specialist
3 weeks ago
Metro Manila, Philippines Pioneer Your Insurance Full timeYOUR ROLE:Contributes to the management of the department's loss ratio by evaluating simple claims cases and handling detected suspicious or fraudulent cases according to the established claims standards and guidelines of the department and Pioneer Group to ensure that claims settlements are fair for both our customers and Pioneer at all times. Contributes...
-
Construction Delay Analyst
3 weeks ago
Metro Manila, Philippines Commercial Contracting Solutions Pty Ltd Full timeCommercial Contracting Solutions Consulting is a young and growing company providing specialist commercial advisory, claims management and dispute resolution services to the construction and infrastructure industries. We have a broad client base spanning construction and infrastructure companies across the Australia and Asia. You will be joining a...
-
Collections Specialist
7 days ago
Metro Manila, Philippines Wells Fargo Philippines Full timeAbout this role:Wells Fargo is seeking an Account Resolution Representative which covers jobs responsible for providing quality customer experience while working to collect and negotiate terms of repayment on complex outstanding account balances.In this role, you will:Support Account Resolution functional area as an experienced Account Resolution Specialist...
-
Metro Manila, Philippines Optum, a UnitedHealth Group Company Full timeROLE AND RESPONSIBILITIESAudits within the DRG Validation Audit Program involve determining whether coding on a claim submission is supported by medical record documentation.They also check if the codes are in accordance with industry coding standards as outlined by the Official Coding Guidelines, the applicable ICD Coding Manual, and/or Coding...
-
Manila, National Capital Region, Philippines iOPEX Technologies Philippines Inc. Full timeWork where YOU matterBe a part of our awesome #iopexhappyatworkteam. Content Moderator (Non-voice) - 1 year of content moderationCustomer Service Specialist (Non-voice) - No experience neededCustomer Service Associate (No experience required)Healthcare Associate (Tagalog-English Account - No experience required)Requirements:Candidate must be at least a...
-
Manila, National Capital Region, Philippines iOPEX Technologies Philippines Inc. Full timeWork where YOU matterBe a part of our awesome #iopexhappyatworkteam. Content Moderator (Non-voice) - 1 year of content moderationCustomer Service Specialist (Non-voice) - No experience neededCustomer Service Associate (No experience required)Healthcare Associate (Tagalog-English Account - No experience required)Requirements:Candidate must be at least a...
-
Medical Billing Specialist
1 week ago
Metro Manila, Philippines NW Pacifica Medical Billing LLC Full timeExperienced Medical Billing SpecialistResponsibilities: Examining eligibility and verifying benefits for treatments, hospitalization, and procedures. Examining patient bills for correctness and completeness, as well as gathering any missing data. Utilizing billing software, prepare, evaluate, and send claims, including electronic and paper claim...
-
Micro HMO Claims Specialist
3 weeks ago
Manila, National Capital Region, Philippines Pioneer Your Insurance Full timeYOUR ROLE:Contributes to the management of the department's loss ratio by evaluating simple claims cases and handling detected suspicious or fraudulent cases according to the established claims standards and guidelines of the department and Pioneer Group to ensure that claims settlements are fair for both our customers and Pioneer at all times. Contributes...
-
Micro HMO Claims Specialist
3 weeks ago
Manila, National Capital Region, Philippines Pioneer Your Insurance Full timeYOUR ROLE:Contributes to the management of the department's loss ratio by evaluating simple claims cases and handling detected suspicious or fraudulent cases according to the established claims standards and guidelines of the department and Pioneer Group to ensure that claims settlements are fair for both our customers and Pioneer at all times. Contributes...
-
Billing Specialist
3 weeks ago
Metro Manila, Philippines Urgently Ortho Medical Group Full timeUrgently Ortho Billing Specialist Who We Are!Urgently Ortho is a group of orthopedic medical offices based in San Francisco, California. Urgently Ortho offers immediately accessible consultation service for any acute or chronic musculoskeletal injury or pain with an orthopedic specialist. We offer full X-Ray diagnostics and evaluation and will offer...
-
Manila, National Capital Region, Philippines Conduent Full time#CONDUENT_PASAY is hiring for NON-VOICE AGENTS – TECH ACCOUNTApply now & get hired over the phoneBe part of the growing company across various country. We care about your safety in this time of health crisis, so we make our recruitment process convenient for you "Familiarity with iOS and/or macOS, or comparable technology, is preferred" QUALIFICATIONS:Good...
-
Technical Support Representative
5 days ago
Metro Manila, Philippines ALORICA TELESERVICES, INC. Full time-Answers and initiates a variety of real-time inbound and/or outbound voice and/or non-voice based services.-Verifies and updates customer information, responds to queries and resolves issues.Provide prompt resolution to customer inquiries by providing appropriate and accurate information using the highest quality customer service standards.-Accurately...
-
Customer Service Representative
1 week ago
Metro Manila, Philippines ALORICA TELESERVICES, INC. Full timeCommunicate via inbound and/or outbound voice-based and/or non-voice-based communications in English or other languages to support customer care, telesales, credit and collections and/or remote technical support for clients. Use computerized system for tracking, information gathering, and/or trouble-shooting issues to provide high quality customer...
-
Sr. Promotional Review and Claims Specialist
3 weeks ago
Manila, National Capital Region, Philippines Dexcom Inc. Full timeThe Company Dexcom Corporation (NASDAQ DXCM; Market Cap $44.3B) is a pioneer and global leader in continuous glucose monitoring (CGM). Dexcom began as a small company with a big dream: To forever change how diabetes is managed. To unlock information and insights that drive better health outcomes. Here we are 25 years later, having pioneered an industry. And...